Peretti Cane Corso

                     Puppy Application

Name:

Home Address: 

Mailing Address:

Phone:

E-Mail:

    Names and relation of other adults in household:

  Age and sex of children who live in the house or visit often:

    Age                  Sex                   Live  With                            Visit

         Do you own other dogs?      If yes describe below:

    Age                  Sex                   Breed                         

   Do you own any cats? If yes describe below:

    Age                  Sex                   Indoor or Outdoor                         

 Are your animals neutered and/or spayed.  If not, why not?                     

Do you own or rent ?  None Own Rent       What ? None House Apartment Condo

How long have you lived at present address?

Will the dog be most of the time inside, or outside? Not Selected Inside Outside

Where will the dog live?

If the dog will be outside during the day, describe the shelter it will have:

Do you have a fenced yard?  Please describe:

Do all family members work outside the home? Not Selected No Yes

Have you ever owned a dog? Not Selected Yes No

What breed? 

What if any canine activity’s are you involved with?

Conformation shows

Agility Not Selected No Yes

Fly ball Not Selected No Yes

Lure coursing Not Selected No Yes

Obedience Not Selected No Yes

Other

 Have you ever owned a Cane Corso Mastiff? Not Selected No Yes

What would be your preference in a Cane Corso? Not Seleced Female Male

Are you a member of a breed club? Not Selected No Yes

Name, address and phone of your Veterinarian and trainer:

Another reference (preferably one that is familiar with your care of animals)

 name, address & phone number:

Applicant signature and date:      NAME:

                                                              DATE:

I validate all the above Information to be correct and to the best of my knowledge.

By entering my name and date above I am validating this Information with this digital signature.

All the Information is Correct:

Not Selected Yes, I'm validating the Information and Signature to be true. No, I do not validate this Information or Signature