WHEN FILLING OUT THIS APPLICATION WE HOPE YOU ARE OPEN AND HONEST ABOUT YOUR ANSWERS. WE DO NOT HAVE A SUBMIT BUTTON SO PLEASE COPY AND PASTE THE APPLICATION IN AN EMAIL AND SEND IT TO sallie61us@yahoo.com THIS IS TO ENSURE ALL OUR PUPPIES ARE PLACED IN THE BEST HOMES SUITED FOR YOUR LIFESTYLE AND FAMILY. THANK YOU! 
Applicant Information: 
 
Last Name:  
First Name:  
Street:  City:  
State:  Zip:  
Phone:  Email:  
What type of Chinese Crested are you looking for? 
 
SEX:   Male    
    Female    
HAIR TYPE:    True Hairless     
    Hairy Hairless    
    Powderpuff    

What made you decide to purchase a Chinese Crested?


What interests you about the breed? 


Have you ever owned a dog?  
  YES  
  NO  

Please tell us about your dog. Include the type of breed, sex, and length owned. 


Do you have any pets presently? 
  YES  
  NO  

Please tell us about them:


Do you have any children?  
YES  
NO  
If so, how many?  
What are their ages?  

Where do you live:  
House    
Apartment    
Condo    
Or do you Rent     
      
If you rent, may we eventually contact your landlord to established that they have granted permission for a pet? 
YES    
NO    
Landlord's Name:     
Landlord's Phone #:     

Please list the name(s) and phone number(s) of the Veterinarian you are currently using or plan to use for your new pet.  
NAME:  PHONE:  
NAME:   PHONE:  
NAME:   PHONE:  

How are you planning on housing this dog?
 
INSIDE  
OUTSIDE  
KENNEL RUNS   
CHAINING  
FREE ROAM/FENCED YARD   
OTHER  

Where will your new pet sleep?


What plans do you have for your new pet:  
PET   
COMPANION  
BREEDER  
SHOW  
AGILITY  
OBEDIENCE  

if "other" please explain:


Do you plan to breed this animal? 
YES    
NO    

If so, why are you interested in breeding? 


If you have no plans for breeding would you be willing to sign a spay/neuter contract? 
YES    
NO    

If you are unable to keep this dog, FOR ANY REASON, would you be willing to contact us and ship the dog at your expense? 
YES    
NO    

If you checked YES, would you be willing to sign a contract agreeing to this?    
YES    
NO    

Please list three references with their phone number and/or email:  
NAME:  PHONE:  
NAME:  PHONE:  
NAME:  PHONE: