How did you first hear of the Cane Corso?

Met one in person
Saw an ad in a magazine/newspaper
Found it on the internet

How did you find our website?

Google Search
MSN Search
Yahoo! Search
Other Search Engine
Referred by one of our puppy owners
Referred by another breeder
Other referral
Link from CCAA/Breeders' Guild website
Link from CaneCorso.com website
Other website link

Please provide the following contact information:

First Name
Last Name
Occupation
Company Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
Cell Phone
E-mail
URL

Names, relationship and ages of everyone in your household:

Please list and describe your current pet ownership as follows: (Name, Type, Breed, Age, Sex, Spayed/Neutered or Intact)

Please list and describe your previous pet ownership as follows: (Name, Type, Breed, Age, Sex, Spayed/Neutered or Intact, and the reason why you do not own this pet anymore)

Please provide your primary veterinarian's name, address and phone number:

Why do you want a Cane Corso?

Please describe your housing situation: (own/rent, detached home/townhouse/apartment)

Are there any circumstances that might complicate your 10+year commitment of owning a Cane Corso? (Example: pet restrictions enforced by a Landlord/Homeowners' Association/CC&R's, Breed-Specific Legislation in your area, children's allergies, new family issues, etc.)

Describe your type of yard (fenced/unfenced/no yard), the approximate size and the type of fencing (wood/chain link/wrought iron) used:

How many hours per day will someone be able to interact with and train the Cane Corso during the first year of its life?

Will the Cane Corso spend most of its time:

with you or another household member inside (even when left alone) outside (even when left alone)

If the Cane Corso will live outside, please describe the shelter you will provide:

Will the Cane Corso be crate-trained?

Yes No

What type of canine training experience do you have?

Puppy kindergarten class
Private obedience training
My dog passed the CGC
My dog passed the TDI
My dog passed the TT
Advanced (Schutzhund, Personal Protection, Ring, etc.)

What activities are you looking forward to enjoying with your Cane Corso?

Agility
Conformation
Herding
Obedience
Puppy Kindergarten
Schutzhund
Personal Protection
Ring Sport
Search & Rescue
Therapy Work
Tracking
Weight Pulling

What is your timeframe for getting a Cane Corso?

As soon as I find the right combination of puppy/breeder
Indefinite or still undecided
0-6 months
6-12 months
12+ months

Are you looking for a male or female?

male female undecided

Which color do you prefer?

Fawn (black mask) Formentino (grey mask) No preference

Which puppy/breeding are you interested in?

Litter C: Carmela
Litter D: TBD - We have no breeding plans at this time.

Which type of puppy are you interested in?

Pet-Quality (Not for Show/Breeding) Show-Quality (Companion Only; Will Not Be Bred/Shown) Show-Quality (For Show and Breeding Purposes)

Have you reviewed our sample Purchase Agreement & Guarantee?

Yes No

Please provide names and phone numbers of people who are familiar with your care of animals:

If there is any additional information you'd like us to know about yourself, please provide it here:

Please type your legal name below. By doing so, you are giving us your e-signature that the above information is true and correct to the best of your knowledge. We reserve the right to sell the puppies to any individual of our choice and submission of this application in no way implicates that we are bound by any terms to sell you a puppy. Your e-signature also authorizes us to contact any individual listed above and obtain information about you that could be regarded as confidential.