Names and relation of other adults in household:
Age and sex of children who live in the house or visit often:
Age__ Sex__ Live With____Visit___________
Age__ Sex__ Live With____Visit___________
Do you own other dogs?_____ If yes describe below:
Age______ Sex____ Breed____________________________
Age______ Sex____ Breed ___________________________
Do you own any cats?__ ____________If yes describe below:
Age_________ Sex__________ Indoor or Outdoor_________________
Age_________ Sex__________ Indoor or Outdoor_________________
Are your animals neutered and/or spayed. If not, why not? _____________
______________________________________________________________
Do you ___own or, ____rent:
___house ____apartment ____condo?
How long have you lived at present address?
Will the dog be most of the time ___inside, or ____outside?
Where will the dog live?
If the dog will be outside during the day, describe the shelter it will have:
Do you have a fenced yard? Please describe: _______________________________
Do all family members work outside the home? ________
Have you ever owned a dog? ________
What breed?________
What if any canine activity’s are you involved with?
Yes/No
Conformation shows________
Agility_______
Fly ball________
Lure coursing______
Obedience __________
Other_______________________________________________________________
____________________________________________________________________
Have you ever owned a Cane Corso Mastiff?
What would be your preference in a Cane Corso? Male _____ Female ____
Are you a member of a breed club?
Name, address and phone of your Veterinarian and trainer: Another reference
(preferably one that is familiar with your care of animals) name, address & phone
number:
Applicant signature and date:_____________________________________
______________________________________________________________
Please print this form out and send it to;
Godiva Cane Corso,
58 Tunis Ave
Bronxville, NY 10708