Corgi Information Form

Date:

Name:

Address:

Phone Number:

Email:

Why a Pembroke Welsh Corgi?

Have you previously owned a dog?

If so, please tell me about the dog (s): breed, still living, how old when they passed and from what?

Do you have any other pets in the home?

Who will be the major caregiver of the puppy?

Where will your pup spend the days and nights?

Which sex do you prefer and why?

What is your preference on color?

Will you use a crate for your pup?

Have you met a dog of the breed you are looking for?

Do you have a fenced yard?

Are you willing to neuter/spay your dog around 6-8 months of age?

Do you know this is a herding breed and will need lots of training?

You also know they will herd you?

You know this breed sheds A LOT?

You know these dogs can be barkers?

Do you plan to take your puppy/dog to an obedience class?

Do you live in a house or apartment?

Does anyone in your home currently suffer from allergies?

Does anyone smoke inside the house?

Are there flights of stairs that the puppy/dog will be required to do up and down daily, and on a regular basis?

Are you willing to keep me informed of any changes in your address for the life of the puppy/dog?

Are you willing to sign a purchase agreement provided by me?

Where do you plan to be living in 6 years?

Will you keep me updated with your address if it ever changes?

Do you agree the puppy will come back to me first?

Getting a purebred AKC Pembroke Welsh Corgi must have taken some great thought and finding a responsible breeder. We as responsible breeders take a lot of our time, money and emotions into every litter. What do you think is the going rate of a companion/pet/performance puppy?

A well-bred, health tested, well-tempered puppy with good basic socialization is surely more than a pet store puppy. Please write a few paragraphs outlining why you want a dog and what you expect your puppy to add to your family?

I hereby certify that all of the information contained in this application is true and correct. I certify that my purpose in acquiring a puppy/dog is primarily as a family pet. This application is not an agreement to buy or sell a puppy but is a tool to aid me in the placement of a puppy. No actual sale will be considered final until a contract is signed by and delivered to both parties.

Signature: