Name: *
Address: *
Date of Birth:
Home Phone:
Cell Phone:
E-Mail Address:
Do you: *
Own your home
Rent
Live with someone else
Other
Type of Home: *
House
Duplex
Townhouse
Apartment
Other
What gender of puppy do you want? *
Doesn't matter
Female
Male
What color are you looking for? *
Doesn't matter
Black
Blue
Brindle
Fawn
Red
Other
Where will your dog stay?: *
Inside
Outside
A combination of both
Do you have a yard? *
Yes
No
What size is your yard?
Is your yard fenced? *
Yes
No
When outside, how will your dog be detained? *
Above ground fence
Underground fence
Kennel
Chained
Other
How tall is your fence? *
What type of fence is it? *
How many dogs do you own? *
How many un-neutered males?
How many un-spayed females?
What types of dogs have you owned in the past?
What other types of pets do you own?
Are you familiar with the Cane Corso breed?
Why do you want a Cane Corso?:
Do you plan to crate train your puppy? *
Yes
No
Do you plan on taking your puppy to training class? *
Yes
No
Do you plan on breeding your puppy? *
No
Yes
Have you ever surrendered a dog to the pound, ASPCA, rescue group, etc? *
No
Yes
If yes, what was the reason?:
Have you ever been charged with or convicted of a crime pertaining to the care and/or upkeep of a animal? *
No
Yes
If yes, what was the reason?:
Where did you hear about us?:
Online
At a show
Saw our vehicle
Met us while we were out and about
Previous customer
Recommended by a friend
Other