Emerald Corgis Puppy Application
"Where Health And Quality Meet"
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How many animals do you have? If you don't have any, did you grow up with dogs?
Do you have any experience with corgis and the breed?
Yes
No
How do you have experience with the Corgi breed?
Do you have children? If so, how old are they?
Do you rent or own? If you rent, do you have permission from your landlord to have animals?
Are you able to afford routine care and emergency vet visits?
Yes
No
Will you participate in obedience training with your puppy?
Yes
No
Do you agree to spay or neuter your pet?
Yes
No
Do you agree to bring the animal back regardless of where you live? I do not allow my dogs to end up in shelters so they MUST come back if you cannot keep or take care of them. All travel expenses will be your responsibility.
Do you have a yard? is it fenced in?
Will you provide daily exercise for the dog?
Yes
No
Do you have an active lifestyle?
Yes
Moderate
No
What activities do you do for fun? How would you consider your lifestyle active?
How many hours a day would your puppy be left alone? Where would your puppy be while you are away?
Are you ready for the lifelong commitment of owning a pet?
Yes
No
Are you willing to work with your pet on behavioral issues?
Yes
No
What do you like about the Pembroke Welsh Corgi breed?
What are some of the challenges to owning a corgi/s?
What is your proffered sex of puppy?
Female
Male
Either (No Preference)
Please explain in detail what your looking for in a corgi puppy. From color, to temperament, and anything else you think might be helpful in assisting us with finding you the perfect match for you and your lifestyle.
Date
-
Month
-
Day
Year
Date
Signature
Submit
Should be Empty: