Puppy Placement Application

Puppy Placement Application

We look forward to getting to know you so that we can match you with the perfect "Knockout" chihuahua for your family, lifestyle and home!
About You:
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do You Own or Rent Your Home?*

OwnRent
Type of Residence?*
If you do not have a fenced yard, how do you plan to ensure your chihuahuas safety outdoors?*
What is your Occupation?*
Please list any other adults living at this address:*
Number of children in this household:*
Ages of children in this household:*
Preferred Chihuahua Sex:*

MaleFemaleEither - Temperament is more important!
Budget/Acceptable Price Range For Your New Chihuahua:*

$3000-4000$4000-5000Retired Adult: $1500
Please share any other preferences that you have regarding your future companion such as color, coat length, ideal size at maturity, etc: *
Please tell me a little bit about yourself and why you are looking to add a chihuahua to your family:*
Why are you interested in a chihuahua as opposed to other toy breed dogs?*
What type of personality appeals to you most and would fit in best with your current pets/family & lifestyle?*
Have you ever owned another Chihuahua?*

YesNoMany!
What do you feed your current pets?*
Are you planning to breed your new chihuahua?*

YesNo
Are you willing to sign a spay/neuter/non-breeding agreement for your new chihuahua?*

YesNo
Is this puppy being purchased as a surprise gift for anyone?*

YesNo
Do you have other pets?*

YesNo
If yes, list ages/genders/breeds:
Are your current pets spayed/neutered?*

YesNo
How long did your last pet live & what were the circumstances of its death?*
Have you ever returned a pet to the breeder? If so, what were the circumstances?*
Have you ever given a pet away? If so, what were the circumstances?*
Have you ever taken a pet to a pound or shelter? If so, what were the circumstances?*
Do you have or have plans to get a larger dog in the future (greater than 25 lbs) **We don't have any problem with families with larger dogs - we just want the opportunity to discuss proper safety and compatibility with potential families that may have or later get a larger dog.** ?*

YesNoCurrently have
What is your vet's name and phone number (if you do not own another pet already and therefore do not have a vet, have you looked into vets & vet costs in your area?)?*
Where will the puppy spend most of its time?*
Who will be the primary person responsible for this dog?*

Applicant/SelfSpouseChild

Please give two references that live outside your current home:*

	Full Name	Contact Number & E-mail	How do you know them?
1
2

We are committed to keeping our chihuahuas out of shelters. If for any reason should things not work out with your new dog/puppy, this puppy always has a home here at Knockout Chihuahuas. We prefer than most instances, you are willing to allow us to rehome the dog for you or at least provide assistance in finding a home. Are you comfortable with this?*

YesNo
What is your preferred time frame for buying a puppy?*

0-3 months3-6 months6-12 monthswilling to wait as long as it takes for the right puppy
Please provide any other relevant information you feel would assist Knockout Chihuahuas in placing one of our precious chihuahuas in your home:
How did you hear about us?*
Please Specify*
Should be Empty: