Last Name of Owner/ Owners Applicant (Full Legal) *
First Name of Owner/Owners Applicant (Full Legal) *
Physical/Street Address *
Mailing Address (if different from physical/street address)
City *
State (Abbreviated) *
Select an Option
Zip Code *
Home Telephone Number
Cellphone Number
Email Address
Name of Cane Corso *
If registered with a breed club, please provide registered name as well as 'call' name
Cane Corso's Date of Birth
Format MM/DD/YYYY
Age of Cane Corso *
Please clarify (e.g. 8 years or 8 months)
Sex of Cane Corso *
Why are you Surrendering your Cane Corso? *
Photos of Cane Corso *
2 photos (one of head, one of body from a side view) Clear photos
Attach file to email
Date you Obtained Cane Corso *
Format MM/DD/YYYY
Where did you get your Cane Corso from? *
Select an Option
Please Explain "Other"
What is the Name of the Breeder/Shelter/Rescue?
If Applicable
What is the Contact Information of the Breeder/Shelter/Rescue
If Applicable
Does your Cane Corso have a Tracking Implant? *
Select an Option (i.e. Microchip Implant, GPS Implant, Tattoo)
Is the Cane Corso Spayed or Neutered? *
Select an Option
Date of Spay/Neuter
If Applicable; Format MM/DD/YYYY
Date of Last Rabies Vaccination *
Format MM/DD/YYYY; No vaccine enter 00/00/0000
Date of Last Parvo Vaccination *
Format MM/DD/YYYY; No vaccine enter 00/00/0000
Date of Last Adenovirus (Hepatitis) Vaccination *
Format MM/DD/YYYY; No vaccine enter 00/00/0000
Date of Last Distemper Vaccination *
Format MM/DD/YYYY; No vaccine enter 00/00/0000
Date of Last Heartworm Prevention Treatment *
Format MM/DD/YYYY; No prevention enter 00/00/0000
Date of Last Flea/Tick Prevention Treatment
Format MM/DD/YYYY; No prevention enter 00/00/0000
Name, Address, Telephone Number of Veterinarian who Cares for your Cane Corso *
Medical Condition(s) of Cane Corso *
Has your Cane Corso Lived with Children? *
Select ALL that Apply
Select an option
Has your Cane Corso Lived with Other Pets? *
Select ALL that Apply
Select an option
Is your Cane Corso Crate Trained? *
Select an Option
When was your Cane Corso Last Crated?
If Applicable
Where does your Cane Corso Sleep?
Select ALL that Apply
Select an option
Where does your Cane Corso Primarily Reside?
Select an Option
Interactions with Other Dogs/Animals *
Select ALL that Apply
Select an option
Observed Behaviors of the Cane Corso *
Select ALL that Apply
Select an option
Is your Cane Corso Dog Aggressive
Select ALL that Apply
Select an option
Is your Cane Corso People Aggressive
Select ALL that Apply
Select an option
Is your Cane Corso Fearful
Select ALL that Apply
Select an option
Has your Cane Corso Bitten Any Human Or Animal
Select ALL that Apply
Select an option
Cane Corso's Favorite Activity
Select ALL that Apply
Select an option
Identify Type of Food, Quantity, and Frequency of Cane Corso's Meals *
If your Cane Corso is Accepted are you able to Foster him/her until a Suitable Adopter is Found? *
Select Option
How much Longer is your Cane Corso able to Reside in your Home? *
Please Explain
Additional Information that will assist "us" in evaluating your application to surrender your beloved Cane Corso. *
Today's Date *
Format MM/DD/YYYY
I understand that if any information is found to be false, misleading, or incomplete, my application to surrender my beloved Cane Corso will be DENIED. *
I understand that submission of this surrender application does not guarantee acceptance of your beloved Corso into program. *
I understand that part of the surrender policy is an evaluation of your beloved Cane Corso by a breed knowledgeable, person. *
I attest that I understand the importance of honest information regarding this Cane Corso, for the safety and well-being of not only the Corso, but for all humans who may come into contact with him/her. *
By submitting this surrender application, I affirm that ALL information is accurate, truthful, and complete. *
Copy past into email to maximumbull@gmail.com
We have a fee of $500.00 to be paid at the time of relinquishment to help with the expense while we look for a permanent family.
