2025 CBCC Puppy Application

COSTA BEL CANE CORSO PUPPY APPLICATION
Thank you for your interest in a puppy from Costa Bel Cane Corso. This application will help us determine if one of our puppies is right for you. All information provided will be kept confidential. Costa Bel Cane Corso reserves the right to refuse any applicant for any reason whatsoever without notice. Thank you!
PERSONAL INFORMATION
Have You Previously Submitted a Puppy Application to Costa Bel Cane Corso?*
Full Legal Name*

PrefixFirst NameMiddle NameLast NameSuffix
Gender*
Occupation*
Age*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
County*
Home Phone Number*

Area CodePhone Number
Work Phone Number*

Area CodePhone Number
Mobile Phone Number*

Area CodePhone Number
Email*
example@example.com
Marital Status*
Full Legal Name of Spouse/Significant Other, If Applicable

PrefixFirst NameMiddle NameLast Name
Gender of Spouse/Significant Other, If Applicable
Phone Number of Spouse/Significant Other, If Applicable

Area CodePhone Number
Email of Spouse/Significant Other, If Applicable
example@example.com
Occupation of Spouse/Significant Other, If Applicable
Age of Spouse/Significant Other, If Applicable
How Long Have You Been Together, If Applicable
Will Your Spouse/Significant Other, If Applicable, Appear on the Contract nnd Registration Papers?

YesNoUndecided
Full Legal Name, Age and Gender of Other Adult (Over 18) Residents of the Home and Indicate if Residency is Temporary or Permanent*
Please List
Full Legal Name, Age and Gender of Children (Under 18) Who are Residents of the Home and Indicate if Residency is Temporary or Permanent*
Please List
Are You or Your Spouse/Significant Other Trying to Conceive? If You Do Not Have Children But Are Planning on Having Them in the Future, Will You Make a Commitment to Continue Caring for the Dog once the New Child Arrives?*
Please List
Full Legal Name, Age and Gender of Domestic Employees and if Temporary or Permanent*
Please List
Who Will Be the Primary Caretaker of the Dog?*
Do You Have Children of Friends Who Visit Frequently? If So, What Are their Ages?*
Are There Regular Visitors to your Home (Human and/or Animal) with whom your Dog Must Get Along? If Yes, Please Describe.*
When Visitors Come Over, Where Will the Puppy Be?*

CrateConfined in RoomLoose in HouseIndoor Kennel RunOutdoor Kennel RunCombo Indoor/Outdoor Kennel RunLoose in YardDog DaycareOther
Are All Family Members and/or Residents in Agreement about Purchasing a Cane Corso Puppy?*
Which Option Best Describes Your Lifestyle?*
LIVING ARRANGEMENTS
Do You Own or Rent Your Home?*
Are there Breed Restrictions Where You Live? If So, Is the Cane Corso on this List?*
If Renting, Do You Have the Permission of your Landlord in Writing to Keep a Large Dog?*
Landlord's Name, If Applicable

First NameLast Name
Landlord's Phone Number, If Applicable

Area CodePhone Number
Landlord's Email, If Applicable
example@example.com
How Long Have You Been Living at this Residence?*
If You Have Lived At This Residence Less Than 5 Years, Please List All Addresses for the Previous 5 Years and Living Duration of Each:
Type of Residence?*
Type of Residential Area?*
Is There a Condo Association or HOA?*
If You Rent or 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.

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Is Anyone Home During the Day?*
How Many Hours Will the Puppy Spend Alone During the Day?*
If the Puppy is Under 12 Months Old and Will be Home Alone for More than 6 Hours at a Time, What Arrangements Have You Made for Exercise and Potty Breaks?
When Alone, How Will the Puppy be Confined?*

CrateConfined in RoomLoose in HouseIndoor Kennel RunOutdoor Kennel RunCombo Indoor/Outdoor Kennel RunLoose in YardDog DaycareOther
Do You Want an Indoor or Outdoor Pet?*
Do You Have a Yard? If So, 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.*
If You Do Not Have a Yard, How and Where Will Activity Occur and How Often?
What Kind of Flooring Do You Have Inside Your Home?*

Stone, Tile, Porcelain or Other Hard FlooringWoodLaminateRugStained ConcreteVinylOther
Do You Have Area Rugs or Flooring That Will Provide Sufficient Traction for Joint Health?*

YesNoNot Yet but Will Purchase
Are You Planning to Move? If So, When? To Where?*
EMPLOYMENT
Title*
Name of Employer*
Address of Employer*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How Long Have You Worked at this Employer?*
How Many Hours Do You Work Per Day?*
How Many Hours Do You Work Per Week?*
Are Your Working Hours During the Day or at Night?*
Do You Work Remotely From Home or Outside of the Home?*
Do You Travel for Work?*
If You Travel for Work, Please Explain Frequency, Duration and Arrangements to Care for Your Dog.
CURRENT PETS + 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.*
Are Your Pets Up to Date on Vaccinations or Titers?*
Are Your Pets Up to Date on Monthly Parasite Prevention?*
If So, What Brand do You Use?
Name of Veterinarian

First NameLast Name
Name of Animal Clinic/Hospital
Address of Animal Clinic/Hospital

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of Animal Clinic/Hospital

Area CodePhone Number
Number of Years at this Animal Clinic/Hospital
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.*
Are You Currently Breeding Your Pets?*
Have You Ever Bred Your Pets?*
Have You Ever Surrendered a Pet to a Shelter or Rescue Organization?*
Have You Ever Given Away a Pet?*
Have You Ever Sold a Pet?*
Have You Ever Been Investigated or Charged with Any Kind of Animal Related Incident?*
Has Anyone In Your Household Ever Been Investigated or Charged with Animal Cruelty, Abuse or Neglect; Child Abuse, Neglect or Endangerment; or Elder Abuse, Neglect or Endangerment?*
Does Anyone In Your Household Have Specialized Medical Needs?*
Does Anyone In Your Household Suffer From Pet Allergies?*
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?*
What Undesirable Behaviors Did Your Past or Current Dogs Have, If Applicable, and How Did You Deal With Them?
Do You Currently Have a Dog Trainer You Are Working With?*
If So, Please Provide Nature of Training.
Name of Trainer

First NameLast Name
Name of Training Facility
Address of Trainer/Training Facility

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of Trainer/Training Facility

Area CodePhone Number
Email of Trainer/Training Facility
example@example.com
Website of Trainer/Training Facility
Do You Have Plans to Title Your Dog in Conformation, Obedience, Rally, Agility, Protection Sports, Tracking, Weight Pulling, Dock Diving, Barn Hunt, Scentwork, etc?*
Have You Titled a Dog in Any Sport or Activity?*
If So, Please Provide Details.
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)?*
What Is Your Gender Preference?*
What Is Your Color Preference? Color Preference Will Only be Considered Secondary to Temperament Compatibility.*
Do You Prefer Cropped or Natural Ears?*
Have You Owned a Cane Corso Before?*
If You Have Owned a Cane Corso Before, Where Did You Get Your Cane Corso(s)?
Have You Ever Interacted with a Cane Corso?*
If You Answered No to Either of the Above, Please Describe Your Experience with Working and/or Dominant Breeds.
Are You Aware of the Proper Pronunciation of Cane (Kah-nay) Corso (Kor-so)? Cane Is Not to be Pronounced as in Candy Cane, Walking Cane, King or Anything Other than Kah-nay.*
Will You Proactively Educate and Encourage Others to Properly Pronounce Cane (Kah-nay) Corso (Kor-so)?*
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 Wait for the Right Cane Corso?*
Are You Willing to Travel to Pick Up Your Cane Corso?*
Are You Willing to Attend Puppy Socialization Classes AND Obedience Classes with a Certified Trainer with Your Cane Corso?*
Do You Plan to Neuter or Spay Your Cane Corso?*
Do You Plan to Breed Your Cane Corso?*
Do You Agree to License Your Cane Corso in Accordance with Local Law?*
Do You Agree to Provide Regular Health Care to Your Cane Corso?*
Do You Plan to Carry Health Insurance on Your Cane Corso?*
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?*
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.*
Have You Gone Through the Costa Bel Cane Corso Website in Detail?*
Are You Aware that Costa Bel Cane Corso Does Not Sell Outright Breeding Rights?*
Are You Aware that Costa Bel Cane Corso Remains on All AKC Papers?*
Are You Aware that Costa Bel Cane Corso Remains on Microchips?*
Are You Aware that Costa Bel Cane Corso Exercises First Right of Refusal Should You No Longer be Able or Willing to Care for Your Cane Corso?*
Do You Have a Temporary Plan for Your Cane Corso in the Event of Your Death or Disability?*
Are You Aware that Costa Bel Cane Corso Does Not Ship Puppies?*
How Did You Hear About Costa Bel Cane Corso?*
REFERENCES
Name of 1st Personal Reference*

First NameLast Name
Relationship of 1st Personal Reference*
Phone Number of 1st Personal Reference*

Area CodePhone Number
Email of 1st Personal Reference*
example@example.com
Name of 2nd Personal Reference*

First NameLast Name
Relationship of 2nd Personal Reference*
Phone Number of 2nd Personal Reference*

Area CodePhone Number
Email of 2nd Personal Reference*
example@example.com
Name of 3rd Personal Reference*

First NameLast Name
Relationship of 3rd Personal Reference*
Phone Number of 3rd Personal Reference*

Area CodePhone Number
Email of 3rd Personal Reference*
example@example.com
By Clicking on Submit Below...

I certify that the information provided in this application is true and that I am at least 18 years of age and able to enter into a legal agreement. I understand that if any information is found to be false or incomplete, my application will be denied without notification. I authorize the veterinarian and/or trainer listed above (if any) to release information to Costa Bel Cane Corso. I understand that while Costa Bel Cane Corso may contact me via phone or email, further contact is not guaranteed, nor is the sale of a requested puppy. We reserve the right, in our sole discretion, to refuse any applicant for any reason whatsoever without notice. I have read this paragraph in full and agree to these terms and conditions.
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COSTA BEL CANE CORSO PUPPY APPLICATION

PERSONAL INFORMATION

LIVING ARRANGEMENTS

EMPLOYMENT

CURRENT PETS + EXPERIENCE

CANE CORSO PUPPY

REFERENCES

By Clicking on Submit Below...