HARTS OF TEXAS CHIHUAHUAS PUPPY/DOG APPLICATION  
 
 
Please fill out this application with as much detail as possible. It aids us in screening the best possible homes for our puppies. Just copy the application information and questions into an email and return the completed application to us.  Thanks so much for your inquiry! 
 
 
Contact Information - 
 
Full Name:  
 
Street Address: 
 
City / State / Zip Code: 
 
Daytime Phone: 
 
Evening or Cell Number: 
 
Email Address 
 
 
Which do you prefer? ___Male ____Female ___ No preference 
 
What are your plans for your new puppy? (Please check all that apply) 
 
Pet Only  ____ 
Brood Bitch or Stud _____ 
Show Prospect _____ 
 
Are you familiar with the term "limited registration"? 
 
If you are a breeder/exhibitor do you have a website?  If so please provide us with the URL. 
 
What type of dwelling do you live in? 
 
Apartment ____ Single Family Home ____ 
 
Do you have a fenced in yard? 
Yes   
No 
 
Do you have a swimming pool? 
Yes  _____ 
No  _____ 
 
If you have a pool, is it fenced in? 
Yes  _____ 
No  _____ 
 
Do you work outside the home? 
Yes  _____ 
No  _____ 
 
If so, how many hours?   _____ 
 
Do you go on vacation often? If so who will be taking care of your pets while you're away? 
Yes  _____ 
No  _____ 
 
What arrangements will you make for the puppy while you are at work?  ___________________________________________ 
________________________________________________________________________________________________ 
 
Where will the puppy sleep at night?  _______________________________________________ 
 
Do you have children? 
Yes  ____ 
No _____ 
 
If so, how many and what are their ages?  _________________________________________________________ 
 
 
Have you ever owned a pet/pets before?  
Yes  ___ 
No  ___ 
 
If so, do you still have it/them and if not, why? 
 
What is your family's activity level? 
 
How much quality time will you have for playing and exercising your new puppy? 
 
Do you have a plan in mind for house training your puppy? 
 
Why have you chosen a Chihuahua for a pet? 
 
Are you prepared for the financial responsibility of taking care of a dog with a 15 year lifespan?  
Yes 
No 
 
How much to you think it takes a month to care for your puppy financially? 
 
Are you aware of the Chihuahua's potential health issues?  
Yes 
No 
 
If so, please name them: 
 
Should your puppy become ill, what will you do? 
 
When your puppy grows up, if he or she gets a costly illness would you put her/him to sleep, or spend the  
money on veterinarian measures? 
 
Have you researched the nature and habits of the Chihuahua? 
Yes 
No 
 
If so, please share some of what you've learned. 
 
Is your whole family in agreement about getting a new pet? 
 
Who will be the puppy's primary caretaker, and what is this person's age? 
 
Do you agree to have your puppy vet checked 48 hrs. after purchase? 
Yes 
No 
 
Do you agree to contact Harts Of Texas Chihuahuas if at any time the puppy isn't working out for the family? 
Yes 
No 
 
Do you agree to feed the puppy the recommended food that is listed below by Harts of Texas Chihuahuas? 
Yes 
No 
 
* Solid Gold or any of the better rated corn/wheat free diets. 
* Home Cooked 
 
Do you currently have a working relationship with a veterinarian that will be caring for your puppy's well being? 
Yes  
No 
 
If so, please provide the name, address and telephone number of your Veterinarian. 
 
Do you agree to have your puppy vaccinated according to what is best for his/her health? 
Yes 
No 
 
Do you agree to give Harts of Texas Chihuahuas access to your vet for the first year of the puppy's life, to question vaccinations and care of your new pet, if we so desire? 
Yes 
No 
 
Are you aware of the amount of patience, love, time and motivation it takes to house/potty train a Chihuahua? 
Yes 
No 
 
Would you be open to sharing pictures of your home so that we can see how and where your puppy will live? 
Yes 
No 
 
Would you be open to somewhat frequent emails from us to check on your new puppy? 
Yes 
No 
 
Would you open to sharing quality pictures of your new puppy, enabling us to watch our baby grow? 
Yes 
No 
 
If you have any additional questions, info, or comments please feel free add them below. 
 
 
 
 
 
 
Once we receive your application, we will review it and get back in touch with you. Thanks! 
 
 
 
 
 
 
 
 
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