Cobby Corgis Puppy Application
APPLICATION FOR OWNERSHIP OF A PEMBROKE WELSH CORGI OR SHIBA INU Name:____________________________________
Date of Birth:__________________
Address: _____________________________________
City & State-Zip:_______________________________
Cell Phone:_____________________________________
Email Address:____________________________________ Occupation:_______________________________________
Who will be the primary caretaker? _______________________________
Do you work full time outside the house?____________________________
How long will the dog be left alone?_______________________________
Do you have fencing? _____ Describe please__________________________
Do you have land?___________________________________________
How many dogs do you own now? List breed, sex age and whether they are fixed? ________________________________________ ________________________________________ ________________________________________
How and where did you find us? _________________________________
Do you have kids? ______________________________
Do you have neighbor’s kids visiting or relatives often? __________
Do you intend on having kids in the near future? _______________
When you go on vacation where do you leave your dogs? _____________
Have you ever-bred dogs before?_______ Do you want to?_____
Is there a limit on how much you would spend on caring for your dog? ________
I am interested in: (Check as many as apply) [] Corgi [] Shiba Inu [] Jack Russell Terrier [] Male [] Female [] Either Sex [] Or please add you specific need:_______________________________________
My primary reason for getting a Puppy is: (Check one only) [] companionship [] this is a magnificent-looking breed [] for breeding [] as a farm working dog (on sheep, search-and-rescue, etc.) Please list: _______________ [] for competition purposes (show, obedience, etc.) Please list: ___________________
How much research have you done in the purchase of this breed? ________________________
I will train my Puppy using the following methods: (Check as many as apply) [] formal obedience classes with a group [] formal obedience classes in individual sessions [] show-handling classes [] at-home training [] in-public training [] other formalized training (agility, tracking, Schutzhund, etc.):____ [] other informal training: ________________________________
10 years from now where do you see yourself and your dog?_____________
I attest to all the above to be truthful & accurate representation of the intended purchase of the Pembroke welsh corgi or Shiba Inu & I agree that I am buying this dog for myself & not for the purpose of reselling, brokering, or exporting. Signature __________________________________ Date ________________
Please email this form back to us.