HILLTOP CHIHUAHUAS

Your Dog's Home Before Home

Puppy Form

Not all feilds are required. Please fill out those with a star, so I can contact you. If you just have a few questions or would like to schedule a visit, I can be reached at 443-536-7441. *Name Address - will not be given out
*e-mail address: *Phone number
*Are you over 18?
yes
no
What are your current living arrangements?
apartment
farm
single family home
mobile home
other
Please tell me if you would like a boy or girl puppy, and color preferences if any.
*Which puppy are you interested in? Please make 2 choices some may be on hold.
waiting list girl
waiting list boy
D3B
How many hours a week do you work?
unemployed
0 - 10 hours
10 - 20 hours
20 - 30 hours
30 - 40 hours
40 or more hours
does not matter, I can take my dog to work
Are you...
single
married
long term relationship
dating
How many children live in your household and what are their ages?
Have you ever had to take an animal to a shelter? If so, please explain the situation.
List all current pets that you own, name and breed.
I plan on keeping my Chihuahua..
inside
outside
Please state the reason that you are interested in a Chihuahua puppy, what you plan to do with your puppy; breed, friend, obedience, gift, etc.
*Is everyone who lives in your household in agreement to purchasing a Chihuahua puppy?
yes
no
How did you hear about Hilltop Kennels?