This application is designed to get to know our puppy buyers and to properly place the right puppy with their new families. The application must be completed and properly filled out:
Name:
Address:
City:
State/Province:
Zip:
E-mail (REQUIRED):
Day #:
Eve #:
Cell #:
Occupation:
Years Employed:



Marital Status:Single Married Divorced
Spouse/Significant Other:



Children in the home or visit often: Yes No
Name(s):
Age(s):
Relationship(s):



Other Adults in the home: Yes No
Name(s):
Age(s):
Relationship(s):



Please list all pets that you currently have:
Sex:
Spay/Neutered?Yes No
Age:




Name:		Current Veterinarian Information:
Location:
Phone Number:




Do you own or rent your home?		Current Residence Information:
Own Rent
Single Family Home?Yes No
Apartment?Yes No
Other?
How long have you lived at this residence?
Any plans on moving? Yes No
Please describe the current size of your yard?
Is it fenced in?Yes No
Will your animal live inside or outside your home?Inside Outside
When the dog is outside please describe the shelter you will provide?
Will there be anyone home regularly during the day?Yes No
If "yes", approximately how many hours per day?



Have you ever owned a dog? Yes No
Please list breed of dogs, when you owned them and if you no longer have them, what happened to them?
Please explain why you want a Cane Corso:
What type of canine training experience do you have?

Puppy kindergarten?
Obedience training?
Advanced (SchH, PP, etc.)?

Do you have a trainer that you currently use or have used in the past?

Yes No

What activities will you and your Cane Corso be involved in?Agility?
Conformation?
Obedience?
Puppy Kindergarten?
Schutzhund?
Personal Protection?
Tracking?
Weight Pulling?

What is your timeframe for getting a Cane Corso?

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What is your purpose for getting a Cane Corso?Show?
Breed?
Work?
Protection?
Companion?
Personal Protection?
Tracking?
Weight Pulling?

Do you prefer a male or female?Male Female
Do you plan to spay/neuter? Yes No
Do you plan to crop the ears? Yes No
What kind of temperment 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 Please supply names and telephone numbers of personal references, preferably individuals who are familiar with your care of animals:
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2
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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:


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