Your First Name
Your Last Name
E-mail*
Street Address
City
State
Zip
Country
Phone
Mobile Phone
Spouse Name
Spouse Phone Number
Please take your time answering the following questions and place a check mark on the appropriate option. Some of the questions might not be relevant to you and we apologize for the inconvenience. Environment and Care
In what type of housing do you reside? —Please choose an option—HouseTownhouseCondoApartmentOther
How many rooms?
Do you rent or own your home? —Please choose an option—RentOwn
If you rent does your landlord permit large dogs? —Please choose an option—YesNo
Would you permit us to contact your landlord? —Please choose an option—YesNo
Do you have a fenced yard? —Please choose an option—YesNo
Type of Fence
Height of Fence
What is the size of your yard?
Will you able to leash walk your dog at least three times a day for necessary functions and exercise? —Please choose an option—YesNo
My dog is going to live: —Please choose an option—InsideOutside
My household consists of: —Please choose an option—AdultsChildrenDogsCatsOthers
Adults ages are:
My children's ages are:
If no children, do you expect to have children? —Please choose an option—YesNo
How many dogs do you currently own?
Tell us about them (age, sex, breed, if neutered/ spayed):
How many dogs have you owned in the past?
What happened to them?
Have you ever owned a Cane Corso or other big size dog? —Please choose an option—YesNo
Tell me about it?
Have you ever bred a litter before? —Please choose an option—YesNo
Do you have a person living in your household that is? —Please choose an option—ElderlyHandicappedHas allergiesHas special needs
What are your expectations of the dog? I am interested in a pet and plan to spay/neuterI am interested in showingI am interested in breedingI am interested in doing therapy
The mailman knocks at the door with a package delivery. I want my dog to: bark, then make friendsbark, and not make friendsbark, then chew him up
I would like? MaleFemaleNo preference
What color of puppy do you prefer? BlackGrayFawn/FormentinoBlack brindleGray brindleNo preference
Are you willing to commit to take the puppy to obedience classes? —Please choose an option—YesNo
Do you agree to provide your puppy with an ongoing socialization with people, other pets and places? —Please choose an option—YesNo
What are your plans for socializing your puppy?
Are you willing to crate train your dog? —Please choose an option—YesNo
Do you agree to return your dog to us if you are unable to keep it? —Please choose an option—YesNo
Which family member will have the major responsibility for the dog?
How many hours a day would the dog normally be left alone?
Are you willing to have health insurance for your dog? —Please choose an option—YesNo
Are you willing to keep the dog up to date on all its shots, screen for heartworm & use heartworm preventative? —Please choose an option—YesNo
Are you willing to have your dog seen by a vet at least once a year? —Please choose an option—YesNo
Are you willing to have the dog's hips x-rayed (OFA or PennHip) at the age of 24 months and provide us with the report? —Please choose an option—YesNo
Are you willing to license the dog and keep it properly identified? —Please choose an option—YesNo
Are you willing to provide us with follow up reports as needed? —Please choose an option—YesNo
Do you allow us to contact your veterinarian? —Please choose an option—YesNo
Name of your and contact information of your Veterinarian:
When would you like to add a puppy to your family (e.g. early 20..)?
Is there anything else you would like to tell us about yourself?
You acknowledge that you have researched the Cane Corso breed and are ready, able and willing to spend the necessary funds on proper health care and training. Hierarchy Cane Corso reserves the right not to sell a puppy to anyone and for any reason. (This includes but is not limited to the following reasons: we wish to retain the puppy for our breeding program, we have found a home that we feel is more suitable for a specific puppy or we have new information regarding your application.) You must be 18 years or older to purchase a puppy.
