Contact Information:
Name:
Address:
City:
State:
Zip:
E-mail: (required)
Day #:
Eve #:
Cell #:
What is the best time to call you at the above numbers?
Family Information:
Names, relationship, ages of others in the household:
Adults:
Children:
Other Pets:
Do you currently have any other pets? Yes, No
If "yes", please list and describe your pet(s) as follows:
Current Veterinarian Information:
Name:
Address & Phone #:
Current Residence Information:
Do you Own or Rent Your Home:
How Long At Current Residence:
Please tell us about your Yard:
Please describe the approximate size of your
Canine Accomodations:
Will the dog live primarily inside or outside?
When the dog is outside,
Schedule Information:
Will there be anyone home regularly during the day?, Yes, No
If "yes", approximately how many awake hours per day?
Past Dog Experience:
Have you ever owned a dog?
Please list breed of dogs, when you owned them
Cane Corso Related Information:
Please explain why you want a Cane Corso:
What type of canine training experience do you have?
Do you have a trainer that you currently use or
What activities will you and your Cane Corso be involved in?
What is your timeframe for getting a Cane Corso? Immediately, Few Months, 1 Year, Just looking
What is your purpose for getting a Cane Corso? Show, Breed, Work, Protector, Companion
Do you prefer a male or female? Male, Female, No Preference
Do you plan to spay/neuter? Yes, No, Undecided
Do you have any color preference?
Do you plan to crop the ears? Yes, No, Undecided
References:
Please supply names and telephone numbers of personal
references, preferably individuals who are familiar
with your care of animals:
Please give us any other additional information about
yourself that will help us determine the best Cane Corso
to match you and your family with. Also, you may tell us
if you are interested in a puppy we have available
or one of our upcoming breedings:
Validation:
Please type your full name here. By
doing so, you are giving us your e-signature that the above
information is true and correct to the best of your knowledge.
Your e-signature also authorizes us to contact any individual
listed above and obtain information about you that could be
regarded as confidential. This in no way binds us to sell you a dog,
nor binds you to buy a dog. This is for informational purposes only.
