Lake Five Chihuahuas's Puppy Application
Questions marked by * are required.
1.	Applicant(s) Full Name *
2.	Full address (No P.O. Boxes) *
3.	Phone number *
4.	Email Address *
5.	Do you have any experience with small breed dogs? * Yes No
6.	Are there other pets in the home? * Yes No
7.	If yes, please list type/breed(s):
8.	Do you have children? * Yes No
9.	If yes, how many and their ages:
10.	Do you own or rent? * Own Rent (If you rent, documentation will need to be provided from the landlord indicating it is okay to have a dog.)
11.	Do you currently work? * Full-time Part-time Not at all
12.	If you answered full-time or part-time, please explain who will care for the puppy:
13.	What is the name of the puppy or puppies that you are interested in? *