Please take a few minutes and fully complete the application below, to allow us to get to know you better if you are interested in a Black Shadow Cane Corso. We take placing our puppies very seriously and so they will only be placed in approved homes. Completing this application for one of our puppies does not guarantee that you will be approved nor does it obligate you to purchase a puppy from us. We will contact you upon receiving your application to review it with you. Please ensure you fully complete the form as this is what we will use to get to know you better to determine the best puppy that is a match for your family. There are no right or wrong answers to any of the questions asked so please be honest when completing the application.

Your Name:
 Your eMail Address:   *Required Field*
Day Phone Number:
 Evening Phone Number:
 Cell Phone Number:
Street Address:
 City, State/Provence, Zip:
Are you inquiring in a specific puppy or rescue currently available, or a breeding on the way?
(If yes, provide name of puppy, or sire/dam of breeding)
Are you at least 18 years of age and able to enter into a legal agreement? Yes No
Do you have a spouse or significant other? (If yes, provide name/relationship)
Do you have Children in your home or as frequent visitors?
(If yes, provide Name / Age / Relationship for each one)
Do you have other Adults in your home or as frequent visitors?
(If yes, provide Name / Age / Relationship for each one)
Please list all pets that you currently own and/or care for:
(Please provide the following for each pet: Breed / Age / Sex / Spayed/Neutered or Intact?)
Do you Own / Rent your House / Townhouse / Condo / Apartment / Other
How long have you lived at this residence? Do you have any plans to move soon?
Is your yard fenced? (Please provide details on the fence type and height)
Please indicate the size of your home and yard.
Will your dog live primarily Inside or Outside your home?
Provide details on shelter provided outside, and/or access your dog will have inside house.
(Full run of house, restricted areas of house, etc)
Will there be anyone home on a regular basis during the day? (Provide details)
How many hours per day will your dog spend alone? (Provide details)
Have you owned a dog before?
 		Yes No
Provide details on each of the previous dogs you have owned.
(Include each dog's breed and what happened to them or why you no longer have them)
Have you ever surrendered a dog (to a pound / humane society / rescue group / etc.) for any reason?
(If yes, what was the reason?)
Have you ever earned any titles with dogs? (If yes, please give brief description.)
Have you ever bred a litter of dogs? (If yes, give a brief description.)
What type of canine training experience do you have?
Do you have a trainer that you currently use or have used in the past? (If yes, who?)
Do you plan to crate-train your new puppy?
 		Yes No
Puppies need to be trained. They will not automatically know how you want them to behave.
Do you realize this and are you willing to commit to working through behavioral problems?
 		Yes No
Are you willing to take your new Cane Corso puppy thru a puppy kindergarten class
and a basic obedience class with a certified trainer?
 		Yes No
Are you intrested in a
Male Female Undecided
Are you intrested in a
Companion/Pet Show Prospect Working Prospect
Do you have a color preference? (List up to three, in order of preference)
Are you flexible on color preference? Yes No
What kind of temperament are you looking for in your new Cane Corso?

What activities do you wish/plan to participate in with your new Cane Corso?

(Please select all that apply)
 Family Pet      Family Protection     Guard Dog    Conformation Showing
Sport of Personal Protection     Schutzhund     Obedience     Agility
Weight Pulling     Breeding     Other:

Please tell us why you would like to add a Black Shadow Cane Corso to your family:
Please give us any other additional information about yourself that will help us determine the best match for you and your family:
Do you have any additional questions or comments for us?:
Provide Your Current Veterinarian Information:
Provide a Personal Reference that is familiar with you and your animals:
Provide a second Personal Reference that is familiar with you and your animals:
Provide a third Personal Reference that is familiar with you and your animals:
How did you find our website? Search Engine / Website Link / Referral / etc. (Please tell us Who!)

Please ensure to double check that all questions are completed before submitting your application. We do reserve the right to verify all the information that you have provided, including a possible home visit. Providing false information intentional will result in your application being denied and any deposit being lost. By submitting this application you are agreeing to these terms and conditions.
Do you understand and agree to this?   Yes     No

If you have checked "Yes" above, type your full name in the box below to show you understand and agree to the above terms:

Please double check before submitting that your e-mail address is correct
and you have filled out the application completely. THANKS!

[ Back to Main Page ]

Content and Design Copyright 2008
© Black Shadow Cane Corso
& About Time Design
 All rights reserved.
Another Great Site Created By:
Mary Richards & Scott Phinney
Sackville, New Brunswick, Canada
506-364-1017 (H) • 506-536-8538 (C)
mrichards1@eastlink.ca