Adoption Application

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Address

Name of the dog interested in adopting

Gender

Female

Male

Driver's License Number

Driver's License State

Do you rent or own?

Rent

Own

Landlord's Name & Number, if applicable

Where will your pet live during the day?

Inside

Outside

Crated

Number of children and ages

Who else lives in the household?

Do you have a fenced in yard?

Yes

No

How high is your fence?

Do you have any other dogs?

Yes

No

If so, list all dogs below, including Name, Age, Breed, Male/Female

Are your dogs spayed/neutered?

Yes

No

N/A

If not Spayed/Neutered, why not?

Do you have any other pets? Please list

Is your pet used to other pets?

Yes

No

N/A

Where does the pet stay (be confined) while you are out?

How do you discipline your pets and why? (describe)

Do you have a regular veterinarian?

Yes

No

Veterinarian’s name, Clinic Name, Clinic's Address, Clinic's Phone Number

Number of hours (average) pet(s) spends alone

Are you willing to put the dog through dog training?

Yes

No

Service Dog Training

Are you looking for this dog to be:

Companion

Protection

Registered Service Animal

Livestock Guardian

Do you have experience with this breed? If not we will talk to you about the breed to make sure he/she will fit into your lifestyle.

Yes

No

What is a reason to give up a pet in your opinion?

Are you prepared to take this pet to the Veterinarian within 21 days for necessary treatment?

Yes

No

Please add at least two references:

How did you hear about Koch's Corsos & Rescues?

Describe breed knowledge:

Rescued dogs are often confused, fearful, and / or defensive. Decompression is a calming period a dog needs when first arriving in your home. The dog must have this time to adjust to its new environment, people, and other animals. The average decompressio

Under what circumstances would you surrender your pet? Divorce? Move? Prefers one person over another? New baby? Pet's behavior or cost of care?

Koch's Corsos & Rescues estimates the average cost of caring for a giant breed dog could exceed $3600 annually, including food, supplies, preventive medications and veterinary costs. Are you willing and financially able to fulfill this responsibility?

Have you ever given up an animal? If yes, please explain.

This is a cI confirm that all information supplied above is correct and accurate.heckbox.

By submitting this application, I promise to provide a loving and caring home for your adopted Cane Corso

Will have the dog spayed/neutered in a timely manner, if applicable

Will socialize and train the dog

Will return the corso to Koch's Corsos & Rescues if I am unable to care for the Corso

I permit Koch's Corsos & Rescues to obtain information about my home situation and care of animals

I understand that if any information is found to be false, misleading, or incomplete, my application will be DENIED without notification and I understand that Koch's Corsos & Rescues has the right to REFUSE my application for any reason and without notification

When my application screening is successful, I understand that a home visit or home video is required and all members of the family must be present, including pets

Signature

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