Contact Information:
Name: Address:
City: State/ Province:
Zip:
E-mail (REQUIRED):
Day #:
Eve #:
Cell #:
What is the best time to call you at the above numbers?
Occupation:
Years Employed:
Family Information:
Marital Status: Married/single
Name of Spouse/Significant Other:
Children in the home or visit often: Name, Age, & Relationship
Other Adults in the home: Name, Age, & Relationship
Other Pets:
Do you currently have any other pets? 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:
Type: Detached single-family home, Townhouse/Duet/Duplex, Apartment/Condominium, Other How Long At Residence: Any Plans of Moving? if yes - please describe 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? If "yes", approximately how many 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?
What is your purpose for getting a Cane Corso?
Do you prefer a male or female?
Do you plan to spay/neuter?
How did you learn about Companion Cane Corso?
Do you plan to crop the ears?
What kind of temperament are you looking for in a Cane Corso Italiano?
If your goals include Show Champion, Schutzhund, Personal Protection, or any other sport where you can achieve titles, have you ever titled or trained a dog to these titles? If so, please tell us what kind of achievements you have had in the past
References: Please supply names and telephone numbers of personal
Please give us any other additional information about
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.
