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
Full Legal Name
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Mr.
Mrs.
Ms.
Prefix
First Name
Middle Name
Last Name
Suffix
Gender
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Male
Female
N/A
Age
*
Address
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Street Address
Street Address Line 2
City
Please Select
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District of Columbia
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Maine
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Ohio
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Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
County
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Home Phone Number
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-
Area Code
Phone Number
Work Phone Number
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-
Area Code
Phone Number
Mobile Phone Number
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-
Area Code
Phone Number
Email
*
example@example.com
Marital Status
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Full Legal Name of Spouse/Significant Other, If Applicable
Mr.
Mrs.
Ms.
Prefix
First Name
Middle Name
Last Name
Gender of Spouse/Significant Other, If Applicable
Male
Female
N/A
Age of Spouse/Significant Other, If Applicable
Full Legal Name, Age and Gender of Other Adult (Over 18) Residents of the Home and Indicate if Residency is Temporary or Permanent
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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
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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?
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Please List
Full Legal Name, Age and Gender of Domestic Employees and if Temporary or Permanent
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Please List
Who Will Be the Primary Caretaker of the Dog?
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Do You Have Children of Friends Who Visit Frequently? If So, What Are their Ages?
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Are There Regular Visitors to your Home (Human and/or Animal) with whom your Dog Must Get Along? If Yes, Please Describe.
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Are All Family Members and/or Residents in Agreement about Purchasing a Cane Corso Puppy?
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LIVING ARRANGEMENTS
Do You Own or Rent Your Home?
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Own
Rent
Are there Breed Restrictions Where You Live? If So, Is the Cane Corso on this List?
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If Renting, Do You Have the Permission of your Landlord in Writing to Keep a Large Dog?
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Yes
No
N/A
Landlord's Name, If Applicable
First Name
Last Name
Landlord's Phone Number, If Applicable
-
Area Code
Phone Number
Landlord's Email, If Applicable
example@example.com
How Long Have You Been Living at this Residence?
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Type of Residence (Single Family Home, Townhouse, Villa, Condo, Apartment, etc)
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Is There a Condo Association or HOA?
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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?
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How Many Hours Will the Puppy Spend Alone During the Day?
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Do You Want an Indoor or Outdoor Pet?
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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.
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If You Do Not Have a Yard, How and Where Will Activity Occur and How Often?
Are You Planning to Move? If So, When? To Where?
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EMPLOYMENT
Occupation
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Name of Employer
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Address of Employer
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How Long Have You Worked at this Employer?
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How Many Hours Do You Work Per Day?
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How Many Hours Do You Work Per Week?
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Are Your Working Hours During the Day or at Night?
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Do You Travel for Work?
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Yes
No
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.
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For Each Pet Listed Above, Please Describe in Detail His or Her Personality.
What Do You Feed Your Pets? Please Include Brand and Formula.
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Are Your Pets Up to Date on Vaccinations or Titers?
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Yes
No
N/A
Are Your Pets Up to Date on Monthly Parasite Prevention?
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Yes
No
N/A
If So, What Brand do You Use?
Name of Veterinarian
First Name
Last Name
Name of Animal Clinic/Hospital
Address of Animal Clinic/Hospital
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number of Animal Clinic/Hospital
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Area Code
Phone 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.
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Are You Currently Breeding Your Pets?
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Yes
No
N/A
Have You Ever Bred Your Pets?
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Yes
No
N/A
Have You Ever Surrendered a Pet to a Shelter or Rescue Organization?
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Yes
No
N/A
Have You Ever Given Away a Pet?
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Yes
No
N/A
Have You Ever Sold a Pet?
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Yes
No
N/A
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?
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Do You Currently Have a Dog Trainer You Are Working With?
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Yes
No
N/A
If So, Please Provide Nature of Training.
Name of Trainer
First Name
Last Name
Name of Training Facility
Address of Trainer/Training Facility
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number of Trainer/Training Facility
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Area Code
Phone 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, etc?
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Have You Titled a Dog in Any Sport or Activity?
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Yes
No
N/A
If So, Please Provide Details.
CANE CORSO PUPPY
What Are Your Reasons for Wanting a Cane Corso Puppy?
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What Research Have You Done on the Cane Corso Breed (Internet Search, Read Books, Spoken to Breeders, Gone to Dog Shows, etc)?
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What Is Your Gender Preference?
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Male
Female
No Preference
What Is Your Color Preference? Color Preference Will Only be Considered Secondary to Temperament Compatibility.
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Black
Black Brindle
Grey
Grey Brindle
Fawn
Formentino
No Preference
Do You Prefer Cropped or Natural Ears?
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Cropped
Natural
No Preference
Have You Owned a Cane Corso Before?
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Yes
No
Have You Ever Interacted with a Cane Corso?
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Yes
No
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.
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Yes
No
Will You Proactively Educate and Encourage Others to Properly Pronounce Cane (Kah-nay) Corso (Kor-so)?
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Yes
No
Describe Your Cane Corso's Ideal Temperament.
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What Are Your Plans for Your Cane Corso with Regard to Training?
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What Is Your Time Frame for Bringing Home Your Cane Corso?
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Are You Willing to Wait for the Right Cane Corso?
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Yes
No
Are You Willing to Travel to Pick Up Your Cane Corso?
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Yes
No
Are You Willing to Attend Puppy Socialization Classes AND Obedience Classes with a Certified Trainer with Your Cane Corso?
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Yes
No
Do You Plan to Neuter or Spay Your Cane Corso?
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Yes
No
No Preference
Do You Plan to Breed Your Cane Corso?
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Yes
No
Do You Agree to License Your Cane Corso in Accordance with Local Law?
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Yes
No
Do You Agree to Provide Regular Health Care to Your Cane Corso?
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Yes
No
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?
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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?
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Please Provide Additional Personal Information, Preferences or Details That Would be Helpful in Matching the Right Cane Corso to Your Family.
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Have You Gone Through the Costa Bel Cane Corso Website in Detail?
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Yes
No
Are You Aware that Costa Bel Cane Corso Does Not Sell Outright Breeding Rights?
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Yes
No
Are You Aware that Costa Bel Cane Corso Remains on All AKC Papers?
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Yes
No
Are You Aware that Costa Bel Cane Corso Remains on Microchips?
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Yes
No
Are You Aware that Costa Bel Cane Corso Does Not Ship Puppies?
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Yes
No
How Did You Hear About Costa Bel Cane Corso?
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REFERENCES
Name of 1st Personal Reference
*
First Name
Last Name
Relationship of 1st Personal Reference
*
Phone Number of 1st Personal Reference
*
-
Area Code
Phone Number
Email of 1st Personal Reference
*
example@example.com
Name of 2nd Personal Reference
*
First Name
Last Name
Relationship of 2nd Personal Reference
*
Phone Number of 2nd Personal Reference
*
-
Area Code
Phone Number
Email of 2nd Personal Reference
*
example@example.com
Name of 3rd Personal Reference
*
First Name
Last Name
Relationship of 3rd Personal Reference
*
Phone Number of 3rd Personal Reference
*
-
Area Code
Phone Number
Email of 3rd Personal Reference
*
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 COSTA BEL 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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