Puppy Application | Rockin' H Corgis

First name

Last name

Email

Phone

Use the following format: 1(000)123-4567

Address

Is this your first Corgi?

How much experience do you have with Corgis?

Will the Corgi share a home with other animals? If so, how many?

If you said yes, what kinds of animals will the Corgi be interacting with? If you said "None," simply put "None" again.

Will the Corgi be around any children?

If yes, what are their ages? If no, simply put "None."

Do you have a sex preference?

Male

Female

No Preference

Will you be the Corgi's main caretaker? Yes/No. If not, please explain.

And finally, what is the main reason you wish to have a Corgi dog? Please include whatever details you would like us to consider.

Which pick-up options are you interested in?

In-person pick up

Pick up at breeder's airport

Work with a flight nanny