Information about the Cane Corso being surrendered:

Has the Cane Corso ever bit anyone? yes no

Has the Cane Corso ever tried to bite anyone? yes no

Has the Cane Corso ever demonstrated aggressive, violent or inappropriate behavior? yes no

If you answered "yes" to any of the above 3 questions, please explain in detail:

Is the Cane Corso spayed or neutered? yes no

Is the Cane Corso currently in good health with up-to-date vaccinations and heartworm preventative? yes no

If you answered "no" to the above question, please explain in detail:

Please describe any medical condition(s) the Cane Corso has been diagnosed with (e.g. dysplasia, mange, cherry eye, epilepsy, etc.):

Current residence information:

Please describe the approximate size of the yard and the type of fencing:

Does the Cane Corso live primarily inside or outside? Inside Outside

When the Cane Corso is outside, please describe the shelter it has:

Is anyone home regularly during the day? yes no

Do you currently own any other pet? yes no

Please describe the type of pet(s) and if you intend on surrendering them as well?

Please explain why this Cane Corso is being surrendered:

How did you acquire this Cane Corso? From a breeder From a pet store From a rescue/shelter This Cane Corso was lost

Please describe in detail how you acquired this Cane Corso:

If you acquired the Cane Corso from a breeder, have they been notified and given the chance to either take back the Cane Corso or assist with placement? yes no

Which type of registration papers does the Cane Corso have? AKC-FSS ENCI ICCF Other registration No registration

Based on your evaluation of the Cane Corso, which type(s) of  homes would you recommend the Cane Corso be placed in:

Single female

Single male

Adult couple (no children)

Family with children ages 0-5

Family with children ages 6-12

Family with children ages 13-17

Household with a cat(s)

Household with a female dog

Household with a male dog

Please give us any other additional information about your situation that will help us determine the best home to match the Cane Corso with: