Puppy Inquiry

How did you hear about NWA Cane Corsos?

Full Name

First NameLast Name

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Are you at least 18 years of age and able to enter a legal agreement?

Do you have children in your home or as frequent visitors?

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)

Do you:

Do you live in a:

Describe your Homes Activity Level

Does Anyone in your Household have Allergies to Animals?

Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sexe, UTD Vaccines, Heartworm, Living/Deceased)

Do you have a preference in sex?

Do you have a fenced yard?

Type & Height of Fence

Have you ever owned a guardian breed?

Current animals, breeds, ages, spayed/neutered?

Previous animals, breeds, how long did you have them and what happened to them?

Will your new dog live inside or outside?

How many hours a day will the dog be left alone?

Describe in detail where the puppy/dog will stay while you are gone:

Current Veterinarian

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Do you agree to let us contact your veterinarian at any time regarding the health of your new dog?

Please explain why you are interested in a Cane Corso or Central Asian Shepherd:

What temperament are you looking for?

Have you ever had a litter of puppies before?

If yes, please tell us about your experience:

I am interested in: (select all that apply)

Will you commit to getting your dog obedience trained by 12 months of age?

Will you commit to getting your dog a wellness checkup by a licensed veterinarian at least once a year?

Are you willing to use preventative medication (flea/tick/heartworm) for your dog?

Do you agree to return the dog to us if for any reason you are unable to keep the dog?

Other comments, questions, information you would like us to know?:

Date

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