Fireside Cane Corso Puppy Application
Personal Information
Full Legal Name
*
First Name
Middle Name
Last Name
Spouse/ Significant other's Name
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Spouse's Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
Employment
Occupation
*
Name of Employer
*
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer Phone Number
*
-
Area Code
Phone Number
How long have you worked at this Employer
*
How many hours do you work per day
*
How many hours do you work per week
*
Do you travel for work
*
Yes
No
Occasionally
If You Travel for Work, Please Explain Frequency, Duration and Arrangements to Care for Your Dog.
Household
Full Legal Name, Age and Gender of Other Adult (Over 18) Residents of the Home and Indicate if Residency is Temporary or Permanent
*
How Many Children Live in the Home? Please List Names and Ages
*
Do you have an active or quiet Household? Please Describe Your Typical Daily Activities
*
Are There Regular Visitors to your Home (Human and/or Animal) with whom your Dog Must Get Along? If Yes, Please Describe.
*
Are All Family Members and/or Residents in Agreement about Purchasing a Cane Corso Puppy?
*
Who Will Be the Primary Caretaker of the Dog?
*
Living Arrangement
Do you Rent or Own your home
*
Rent
Own
If Renting, Do You Have the Permission of your Landlord in Writing to Keep a Large Dog?
*
Yes
No
Non Applicable
If You Rent You Will Need to Submit a Copy of Your Lease/Bylaws Stating that there are No Restrictions Regarding Owning a Dog, Weight Limitations or Breed Specific Restrictions.
Type of Residence (Single Family Home, Townhouse, Villa, Condo, Apartment, etc)
*
Is There a Condo Association or HOA?
*
Yes
No
If You Live where there is a Condo Association or HOA, You Will Need to Submit a Copy of Your Lease/Bylaws Stating that there are No Restrictions Regarding Owning a Dog, Weight Limitations or Breed Specific Restrictions.
How long have you been living at this residence?
*
Do You Have a Yard? If So, is it a Private Yard or Community Yard? Please Provide the Size of the Yard (Square Footage, Dimensions, Acreage, etc), Type of Yard Enclosure (Chain Link, Wood, Aluminum, Fully Enclosed, Partially Enclosed, etc) and Height of Enclosure.
*
Is Anyone Home During the Day?
*
How Many Hours Will the Puppy Spend Alone During the Day?
*
Current/Past Pets and Experience
List All Pets Currently Owned and/or Living in the Home. Include Pet's Name, Type, Breed, Age, Gender, Whether Spayed/Neutered, How Long You Have Had the Pet and Where the Pet was Purchased or Obtained.
*
For Each Pet Listed Above, Please Describe in Detail His or Her Personality.
*
What Do You Feed Your Pets? Please Include Brand and Formula.
*
List All Previously Owned Pets During the Last 15 Years. Include Pet's Name, Type, Breed, Age, Gender, Whether Spayed/Neutered, How Long You Had the Pet, Where the Pet was Purchased or Obtained and What Happened to the Pet.
*
Have You Ever Surrendered a Pet to a Shelter or Rescue Organization?
*
Yes
No
Have You Ever Given Away a Pet?
*
Yes
No
Have You Ever Sold a Pet?
*
Yes
No
If You Answered Yes to Any of the Questions Above, Please Provide Details Below.
What Type of Training Have You Done in the Past with Dogs?
*
Do You Currently Have a Dog Trainer You Are Working With?
*
Yes
No
If So, Please Provide Nature of Training
Name of Training Facility
Name of Trainer
First Name
Last Name
Phone Number of Trainer
-
Area Code
Phone Number
Have You Titled a Dog in Any Sport or Activity? If So, Please Provide Details
*
Have You Owned a Cane Corso Before?
*
Yes
No
Have You Ever Interacted with a Cane Corso?
*
Yes
No
If You Answered No to Either of the Above, Please Describe Your Experience with Guardian and/or Dominant Breeds.
Cane Corso Puppy
What Are Your Reasons for Wanting a Cane Corso Puppy?
*
What Research Have You Done on the Cane Corso Breed (Internet Search, Read Books, Spoken to Breeders, Gone to Dog Shows, etc)?
*
Do You Have Plans to Title Your Dog in Conformation, Obedience, Rally, Agility, Protection Sports, Tracking, Weight Pulling, Dock Diving, etc?
*
Are You Interested in a Pet, Breeding or Show Quality Puppy?
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Pet
Show
Breeding
What Is Your Gender Preference?
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No Preference
Male
Female
What Is Your Color Preference? Color Preference Will Only be Considered Secondary to Temperament Compatibility.
*
No Preference
Black
Black Brindle
Grey
Grey Brindle
Fawn
Formentino
Do You Prefer Cropped or Natural Ears?
*
No Preference
Cropped
Natural
Describe Your Cane Corso's Ideal Temperament
*
What Are Your Plans for Your Cane Corso with Regard to Training?
*
What Is Your Time Frame for Bringing Home Your Cane Corso?
*
Are You Willing to Attend Puppy Socialization Classes AND Obedience Classes with a Certified Trainer with Your Cane Corso?
*
Yes
No
Do You Plan to Neuter or Spay Your Cane Corso?
*
Yes
No
Unsure
Are You Aware of the Cost of Caring for a Cane Corso? Are You Financially Able to Spend $2,000-$3,000 per Year for ROUTINE Health Care, Supplies, Grooming and High Quality Food? Are You Able to Pay for Emergency Care?
*
Yes
No
When Your Cane Corso is Home Alone or Sleeping, Where Will He or She Spend its Time? Loose Indoors, in a Crate, in a Yard, Doggie Day Care, etc?
*
Please Provide Additional Personal Information, Preferences or Details That Would be Helpful in Matching the Right Cane Corso to Your Family.
Are You Aware that Fireside Cane Corso Does Not Sell Outright Breeding Rights?
*
Yes
No
Are You Aware that Fireside Cane Corso Remains on All AKC Papers?
*
Yes
No
Are You Aware that Fireside Cane Corso Remains on Microchips?
*
Yes
No
REFERENCES
Personal Reference 1
Name
*
First Name
Last Name
Relationship
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Personal Reference 2
Name
*
First Name
Last Name
Relationship
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Veterinary
Veterinarian's Name
*
First Name
Last Name
Clinic/Hospital Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
By Clicking on Submit Below...
I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE. I UNDERSTAND THAT IF ANY INFORMATION IS FOUND TO BE FALSE OR INCOMPLETE, MY APPLICATION WILL BE DENIED WITHOUT NOTIFICATION. I UNDERSTAND THAT WHILE FIRESIDE CANE CORSO MAY CONTACT ME VIA PHONE OR EMAIL, FURTHER CONTACT IS NOT GUARANTEED, NOR IS SALE OF A REQUESTED PUPPY. WE RESERVE THE RIGHT, IN OUR SOLE DISCRETION, TO REFUSE ANY APPLICANT FOR ANY REASON WHATSOEVER WITHOUT NOTICE. YES, I HAVE READ THE DISCLAIMER AND AGREE TO THESE TERMS AND CONDITIONS.
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