Puppy Application Bella's Little Angels Chihuahua Breeder First and last name of adoptive parents: ______________________________________________ : ______________________________________________ Complete physical address (NO PO. Boxes) Street Address: _________________________________________________________________ City, State, Zip: ________________________________________________________________ Mailing address if different from physical address: Street Address: _________________________________________________________________ City, State, Zip: ________________________________________________________________ Home Phone #: (_____) _______-___________ Cell #: (_____) ________-________________ Email address: _________________________________________________________________ Do you own or rent?________________ If you rent, we need a letter from the landlord or a copy of your lease stating that pets are allowed. If you own, we need a copy of your mortgage statement or tax bill. How did you hear about Bella’s Little Angels: Friend:__________________ Ad: ___________________ Another Website: _________________________________________ Will this be your first Chihuahua? Yes No If no, please tell us how many you have and their sex & age Males ____ Females _____ Long Coats ______ Short Coat _________ If yes, have you researched the breed: Yes No Do you currently have a Veterinarian? Yes No if NO, you must have one prior to picking up the puppy If yes, Vet name: _________________________________ and phone number: (______) _________-_____________ How many hours a day will the puppy be left home alone? ______________ What pets do you currently own? List all animals in your residence full or part time. _______________________________________________________________________________________________ _______________________________________________________________________________________________ How many other humans live in the home? ________ If children, their ages: _____________________________ Is everyone in the home in agreement with the puppy?:_________________________________ Do you have a specific puppy in mind: Yes No If yes, which one_____________________________________ Do you have a preference as to the sex your new puppy will be? Male Female Either Do you have a color preference: 1:_____________________ 2:__________________ 3:_______________ All of our Chihuahua puppies are purebred, are you looking for AKC CKC No Preference Do you plan on breeding the Chihuahua that you purchase from us? Yes No If yes, please explain so we know more about you such as: Do you have a website? Yes No If yes, please list your URL ________________________________________ Kennel or Hobby Name:___________________________________________________________________________ Are you state licensed?: YES NO How long have you been breeding or thinking about breeding? ___________ If NO, are you willing to sign a spay / neuter contract YES NO _____________ This application is just that, an application. It does not constitute a sale or hold of a puppy. No puppy will be placed on hold until this application is approved by the breeders Becky and Don D’Allaird. The placement of our puppies is the most important part of our business. Our goal is to ensure that each of our families are completely educated on the commitment and responsibility that a new Chihuahua puppy requires and have the resources required to care for a new puppy. I / We understand that by signing this application it does not guarantee me the purchase of a puppy or to be placed on a waiting list. I / We also understand that the breeders Becky and Don D’Allaird have the final say as to whether to approve or deny the application. The breeders Becky and Don D’Allaird will notify you within 96 hours of receiving this application as to its approval status. Please sign or type your name (s) below Name: _______________________________________________ Date: ___________________________ Signature: _________________________________________________________________________________ Name: _______________________________________________ Date: ___________________________ Signature: _________________________________________________________________________________ Please do not write in the space below. This space is for use by Bella’s Little Angels. Rental property verified as to allow pets or home ownership verified? Approved Declined Why?: ______________________________________________ Vet information verified? Approved Declined Why? _______________________________________________ Application Approved Declined Why? _________________________________________________ Signed____________________________________________ Date_______________________________ Bella’s Little Angels |
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