Chihuahua Application

1
We do require a $100 deposit once you have been approved for a puppy to go on our waitlist. This is non refundable but it does come off the total of your puppy & it guarantees you a puppy. If you disagree with this please don't fill out our application.
Yes I Agree
No I do not Agree
2
Chihuahuas - The Fees for our Puppies are $2800 for Males & $3200 for females. Your puppy comes with first vaccine (at 8 weeks), microchipped, desexed, info pack & ANKC pedigree papers on Mains register, some Toys & a 2kg bag of puppy food that is posted from Royal Canin. We also can provide 8 weeks free pet insurance on request. We require a $400 dollar deposit to hold your puppy until its ready to leave. There are pics of the Parents on our website if you would like to view them.
Yes I understand and agree
Yes I Understand and Do Not agree
3
Name
First Name
Last Name
4
Date of Birth
5
Residential Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
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Brunei
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Chile
China
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Malawi
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Mali
Malta
Marshall Islands
Martinique
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Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
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Sierra Leone
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Solomon Islands
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Sri Lanka
Sudan
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Postal Address if Different
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
7
Email
example@example.com
8
Mobile Number
9
Why do you think a Chihuahua is right for you?
Huge
Large
Normal
Small
Ok
Ok
10
Have you owned a Chihuahua before?
YESNO
11
Have you researched the breed and if so what research have you done?
12
What Sex, Coat type & Color are you looking for in Your Chihuahua?
Long Coat
Smooth Coat
Female
Male
Blue
White/Cream
Tan
Brindle
Black & White
Chocolate
Any Colour
Black Tri
13
When are you looking for a pup?
14
What activities do you plan on doing with your dog?
Pet/Companion
Conformation Showing
Breeding
Agility
Obedience
Camping/Hiking
Therapy Work
15
What type of house do you live in
Apartment
Unit
House with small Yard
House with Large yard
Farm
Small Acreage
16
Number of Adults living on the Premises
1
2
3
4
5
17
Number of Children & How old are they?
18
Does anyone in the household have allergies to dogs?
YESNO
19
Where will your puppy/Dog spend most its time?
Indoors
Outdoors
Both
20
Do you own or rent your home?
Rent
Own
21
If you rent, Are you allowed pets? Please put N/A if you own.
22
Do you have a fenced in yard secure for a chihuahua?
YESNO
23
What is your activity level?
1
2
3
4
5
6
7
8
9
10
24
Will you include you puppy/dog in daily activities?
YESNO
25
How many walks per day?
26
How long per day will the pup be left alone?
27
What do you think it will cost, per month, to feed your puppy?
28
What would you do with your pup if you are out of town for more than a day?
Huge
Large
Normal
Small
Ok
Ok
29
Where will the puppy sleep?
30
Where will the puppy be kept when no one is home?
Huge
Large
Normal
Small
Ok
Ok
31
Are you Planning to attend puppy school and Follow up obedience classes with your Puppy? For puppies the critical socialization period ends at or before 16 weeks so you must continue socializing them from the moment you bring them home
Huge
Large
Normal
Small
Ok
Ok
32
Are there any other pets in the home?If so what type? sex? age? spayed/neutered?
Huge
Large
Normal
Small
Ok
Ok
33
Are you interested in any particular litter?
34
Are you an Australian Resident?
35
If for any reason you cannot keep your pup/dog, The dog must be brought back to us.You do get some Refund, amount depending on the age & condition the dogs in.
Yes I Agree
No I Don't Agree
36
Is there anything else you would like to add to your application?
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: