Puppy Application - Majestic Cane Corsos

Name

First

Last

Cell Number

Other Number

Address

Street Address – No P.O. Box

Street Address Line 2

No – P.O. Boxes

City, State / Providence

Postal Zip Code

Type of dwelling

How long have you lived there

Selected Value: 0

Years

Do you own or rent

If you rent, please answer #13 (next) question. If own, please skip to #14

If rent, are you allowed to own a dog? (Cane Corso breed)

Please note you might be asked to provide rental agreement and/or letter from landlord approval the ability to own a dog (Cane Corso breed).

Do you have a secure fence?

Have you ever owned a dog/puppy before?

Current household pets

List number, species, name, and age of each and all pets. (If none, please N/A response.)

Have you ever had to give up and/or give away a pet before?

If yes, please answer question #18. If no, please skip to question #19.

If yes, please explain why and for what reason.

Please provide as much detail as possible.

Is everyone in the household in agreement of adopting a new pet?

Anyone in the household allergic to animals?

Who is your Vet?

Please provide the name, address, phone number, and email address.

Provide a reference that is not a family or current household member.

Please provide name, phone number and email address.

I/we agree with the following:

if we adopt a dog, we will provide professional Vet care, a nutritious diet, and a loving home.
we also agree that we will return the dog if we can no longer keep it.
no member of our household has ever been convicted of cruelty to animals.