Puppy Application First Name Last Name Address City State Zip Code Email Phone Number Phone Type Mobile Landline Housing Own Rent Is this your first Chihuahua? Yes No If yes, have you researched the breed? Yes No Do you own any other animals? Yes No If yes, please tell us the breed(s) Have you ever Surrendered a pet? Yes No If yes. Please explain Are you familiar with the common health issues in Chihuahua's? Yes No Would like more information Are you familiar with hypoglycemia? Yes No Do you understand how to prevent hypoglycemia? Yes No Somewhat, would like more information Personal Referance Do you currently have a Veterinarian? Yes No Someone in mind Veterinarian's Name Veterinarian's Phone Number How many hours a day will the puppy be left alone? Never 0-2 2-4 4-6 6-8 8-12 Over 12 Only at night Only when at work How many hours a day will the puppy be crated? Never 0-2 2-4 4-6 6-8 8-12 Over 12 Only at night Only when at work Do you have a specific puppy in mind? Yes No If yes, which puppy? Do you have a preference as to the sex of the puppy No Preference Male Female Do you have a color preference? Our puppies are generally 6-8 pounds full grown, we do not breed tiny dogs. Are you okay with that? Yes No Are you willing to sign a Spay / Neuter Contract Yes No Concerns How did you hear about BLA Website Friend Word of mouth FaceBook Internet browsing Other Submit your application to Bella's Little Angels for review We will review your application. Filling out an application does not guarantee a puppy. If approved you will be added to our waiting list.
