Contact Information:







State or Province:

E-mail (REQUIRED):

Eve #:

What is the best time to call you at the above numbers?

Family Information:

Names, relationship, ages of others in the household:



Other Pets:

Names, relationship, ages of others in the household:

Do you currently have any other pets? Yes, No

If "yes", please list and describe your pet(s) as follows:
Name, Type, Age, Sex, Spayed/Neutered:

If you answered 'yes' to owning other pets, please describe the current diet, supplements, etc. you are feeding your animal.

Current Veterinarian Information:


Address & Phone #:

Current Residence Information:

Do you Own or Rent Your Home:

Type of Home: Detached, Single Family Home, Townhouse, Duplex, Apartment, Condominum

Please tell us about your Yard: Fenced Yard, Unfenced, Patio/Deck only, No Yard

How Long At Current Residence:

Any Plans of Moving? When? Where? Why?

Please describe the approximate size of your
yard and the type of fencing (if applicable):

Canine Accomodations:

Will the dog live primarily inside or outside?

When the dog is outside, please describe the shelter it will have:

Schedule Information:

Will there be anyone home regularly during the day?, Yes, No

If "yes", approximately how many awake hours per day?

Past Dog Experience:

Have you ever owned a dog? Yes, No

Have you ever surrendered an animal to a shelter, given an animal away or sold an animal? Yes/No

Please list breed of dogs, when you owned them and if you no longer have them, what happened to them?

If Yes, please describe the circumstances.

Dog Related Information:

Please explain why you want a RedRock Puppy:

Do you plan to crate train? Yes or No

Do you have a trainer that you currently use or have used in the past?

What is your timeframe for getting a RedRock Puppy? Immediately, Few Months, 1 Year, Just looking

What type temperament are you looking for?

Do you plan to spay/neuter? Yes, No, Undecided

What type of canine training experience do you have?
Puppy Kindergarten, Obedience Training, CGC, TDI, TT, SchH, PP, etc. (List all that apply)

Would you be able to pick up your RedRock puppy personally?

What is your purpose/goal for getting a RedRock Puppy? Show/Conformation, Breeding, Working, Sport of Personal Protection, General Family Protector, Companion
(List all that apply)

What activities will you and your Puppy be involved in?
Agility, Conformation, Obedience, Puppy Kindergarten, Schutzhund, Sport of Personal Protection, Therapy Work, Tracking, Weight Pulling, Companion Only
(List all that apply)

Do you prefer a male or female? Male, Female, No Preference

Do you plan to crop the ears? Yes, No, Undecided


Please supply names and telephone numbers of personal references, preferably individuals who are familiar with your care of animals:

Please give us any other additional information about yourself that will help us determine the best puppy to match you and your family with. Also, you may tell us if you are interested in a puppy we have available or one of our upcoming breedings: Which breeding are you interested in?


Please type your full name here. By doing so, you are giving us your e-signature that the above information is true and correct to the best of your knowledge. Your e-signature also authorizes us to contact any individual listed above and obtain information about you that could be regarded as confidential. This in no way binds us to sell you a dog, nor binds you to buy a dog. This is for informational purposes only.

Top Cane Corso Puppy Breeder