Working Dog Chihuahuas : Chihuahua Application

* Legal First & Last Names and Electronic Signature of Prospective family:

Do you have preference as to color?: *

Physical Address + City, State, Zip Code *

Who lives in your household? Please list all family members including children that may be shared custody and in your home part time. Please include age/relationship of all people in your home: *

Is this your first Chihuahua? If no, how many do/have you own(ed)? Please describe: *

Finally, tell us about you! How you came to Midwest Chihuahuas, what you are looking for both emotionally and physically, what you hope to find here, and any information that you feel will help us when considering your application. *REQUIRED*: *

What pets do you currently own? List all animals in your residence full or part time: (*Failure to disclose pets you own will remove you from consideration): *

Midwest Chihuahuas respectfully asks that you read the Buyer FAQ page (linked at the top of this page)prior to completing this application. By initalling below, you agree you read and agree to be bound by the terms and conditions therin. Discounts and Payment Plans are outlined on the page titled Discounts. INITIAL TO AGREE TO TOS:

Are all pets in your home spayed or neutered? If no, please state reason: (*If this answer is contradicted by your vet your application will be rejected): *

Dogs need Veterinarians just like people need Doctors. Many choose to Vet at home but we do not and since your companion from us will have future Veterinary needs, we ask for a Veterinary Reference. If you have no pets and no Veterinarian, let us know that here and we will help you locate the best options in your area. Please include Veterinary Office contact information here: *

Do you have a preference to coat length (long/short)?: *

Do you have a preference to the sex of your puppy? If yes, please state reason for preference: *

Do you own or rent your home? (*If you rent, know that we may require proof from your landlord showing you would be permitted to have your Chihuahua as a resident of the property): *

* Legal First & Last Names of Prospective family: *

Would you like to be considered for breeding rights for the Chihuahua from us? *If yes, please explain in detail about your breeding program and include website and social media links if applicable. If you previously bred even one dog, please go over that here: *

*Telephone Number: *

* By electronically signing here, I agree that I have provided this information to the best of my knowledge and and bound by all terms as outlined *

Application for consideration for a Chihuahua puppy!

Click the gray SUBMIT button at the end once complete

ALL fields must be filled in for gray box to appear

Read the BUYER FAQ page prior to applying

Apply here for Harvey/Fig litter due 11 Nov 26 & Warren/Moira Rose litter due 18 Nov 26

Best E-mail Address (watch your spam for our reply) *

What size Chihuahua are do you prefer (3-6.5 lbs)and why? *

Are you applying for a discount and if yes, which one?: *