Please Note: The "E-mail address" and "Your Name" fields are REQUIRED
Application For:
Puppy
Adult
No Preference
(If you are interested in a dog or puppy you've seen on the web site, please provide the information at the end of this application.)
Male
Female
No Preference
Hairless
Powder Puff
No Preference
Your Name:
Address:
City:
Zip/Postal Code:
E-mail address:
Your veterinarian's name, address, phone number (and email address if available):
Have you owned any dogs before? Yes NoIf yes, where are those dogs now or what happened to them:
Have you owned a Chinese Crested before? Yes No
Do children live in your home? Yes No
If yes, how many and what are their ages:
Describe your home (house, apartment, farm, other--be specific):
Do you have a fenced yard? Yes No
Are there other pets already living in your home? Yes No
If yes, please describe them:
What is / are your primary reason(s) for wanting this Chinese Crested (check all that apply):
Watch Dog
Show Dog
Obedience
Agility
Pet / Companion
Other (describe below)
Please provide any additional information that you would like considered for the review of your application. If you are interested in a specific dog or puppy, please give that dog's name or description, as well as where on the web site that you found the photo.
Be sure to complete all sections of this form before you submit! Any incomplete application will be ignored.
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