HILLTOP CHIHUAHUAS & BOXERS

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.

*Are you over 18?
yes
no
What are your current living arrangements?
apartment
farm
single family home
mobile home
other

*Which puppy are you interested in? Please make 2 choices some may be on hold.
Waitlist Boxer
Waitlist Chihuahua
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



I plan on keeping my puppy..
inside
outside

*Is everyone who lives in your household in agreement to purchasing a puppy?
yes
no
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