To help us ensure that each of our puppies is going to a caring, responsible home, we ask that you fill out the following application form if you are interested in adopting one of our babies. Once received, we'll get back to you with a reply very quickly. Thank you for your cooperation.

Please let us know if you are a breeder.

*Denotes required fields.

I am interested in a:
Male   Female
Color Preference:
Smooth Coat  Long Coat

*Name:
City:  State
*Phone: Fax:
*Email:
Please Confirm Email:

Are you presently a pet owner?
Yes No
If yes, please describe:

What do you know about the care of a Chihuahua?


Do you have children at home?
Yes No
If yes, what are their ages?

Have you ever relinquished an animal to a shelter?
Yes No

Are you willing to "Chihuahua-Proof" your home?
Yes No

Please tell us a little about yourself and your lifestyle:

Additional comments or questions?


*I understand that submitting this application is for inquiry purposes only,
 and that it is in no way to be considered a commitment to buy or to sell.


(Please press once only - thanks!)
(If you encounter problems with this form, please email or call. Thanks!)