Email Address:

Phone:

Mailing Address:

1-Do you currently have a dog? Please list age, sex and breed of current dogs:

2-Please list any other pets you have:

3-Who will be the primary caretaker of your dog?

4-Do you have a fenced yard? If not, how do you plan to exercise your dog?

5-Is anyone home during the day?

6-Do you plan to crate train your dog? If not, what are your plans to housebreak your dog?

7-Where do you plan to keep your dog during the day/night?

8-What is the most important characteristic your dog should have?

9-Is everyone in your household in agreement to adding a Corgi to your home?

10-I want a Corgi for:
Companion
Obedience
Tracking
Therapy
Agility
Show

11-What is the ideal age of dog you are looking for:
Young Puppy
Older Puppy
Young Adult
Retired Adult
Age does not matter

12-Is there any other information you would like to add?