PUPPY APPLICATION

Thank you for your interest in a Black Pearl Cane Corso puppy!
The welfare of our puppies is our first priority. We wish to make sure that our puppies live full and happy lives in a home with people who love them. We try our best to place puppies only in the most loving and responsible of homes and this application form is designed to help us in that process. Our puppies will always come back to us if they need to be re-homed or go to homes that we have approved who are willing to sign and honor our puppy care contract. 

General Information

Name: 

Address:

City, State, Zip:

Home Phone:    Work Ph:    Cell Ph:

Email:

Spouse name:

Work Ph:   Cell Ph:

Do you allow us to contact your veterinarian? Yes   No

Name of your Veterinarian:

Contact information of your Veterinarian:

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?   House   Townhouse   Condo  Apartment  other Number of rooms

Do you:  Own   Rent

If you rent does your landlord permit large dogs?  Yes   No

Would you permit us to contact your landlord?   Yes   No

Do you have a fenced yard?    Yes   No

If yes what is the size of yard?   Type of fence   Height of fence
If no, are you able to leash walk your dog at least four times a day for necessary functions and exercise? Yes No    If no, why not:

My dog is going to live:  outside   inside
If outside, please provide details on shelter provided outside: 

My household consists of: Adults,  Children,  Dogs,  Cats,  Other 

My children's ages are:, Adult ages:

Tell me about your dogs (list age, sex, breed and if neutered/spayed):

If no children,  do you expect to have children?  Yes  No

I have owned dogs in the past years.
What happened to them?

Have you ever owned a Cane Corso or other big size dog? Yes  No
Tell me about it:

Have you ever bred a litter before?  Yes  No
Tell me about it:

Does anyone in the household have allergies?  Yes  No
If yes, what type?

Do you have a person living in your household that is: elderly, handicapped, has special needs?

What are your expectations of the dog?  I am interested in a pet and plan to spay/neuter
I am interested in showing     I am interested in breeding

The temperament I expect from my dog, as per the following possibilities would be:
The mailman knocks at the door with a package delivery. I want my dog to:

bark, then make friends,    bark, and not make friends,   bark, then chew him up,   other

I would like a:  Male   Female   No preference

Which family member will have the major responsibility for the dog?

How many hours a day would the dog normally be left alone?

The dog's training

I am willing to commit to take my dog to obedience classes:  Yes  No

Do you agree to provide your puppy with an ongoing socialization with people, other pets and places   Yes  No

What are your plans for socializing your puppy? 

Are you willing to crate train your dog?  Yes  No

Do you agree to return your dog to us if you are unable to keep it?  Yes  No

The dog's health care

Are you willing to keep the dog up to date on all its shots, screen for heartworm & use heartworm preventative?  Yes  No

Are you willing to have your dog seen by a vet at least once a year?   Yes  No

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?   Yes  No

Are you willing to license the dog and keep it properly identified?  Yes  No

Are you willing to provide us with follow up reports as needed?  Yes  No

Is there anything else you would like to tell us about yourself?

You must be 18 years or older to purchase puppy.
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.
Black Pearl 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.)

Applicant's signature:

Date: