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PUPPY APPLICATION
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?
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 temperament are you
looking for in a Cane Corso ?
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 breeding:
Liberty Cane Corsos - Joe Hovorka - 845.672.9143 -
info@libertycanecorsos.com
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