Utah Corgi's Puppy Application
Please fill out all fields
Full Name
First Name
Middle Name
Last Name
Birth Date
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
example@example.com
Mobile Number
-
Area Code
Phone Number
Where did you hear about us?
Facebook
Instagram
Web Search
From a Friend
Other
Is this your first time owning a Pet?
Yes
No
Does anyone in your home suffer from allergies?
Yes, Severe
Yes, Moderate
Yes, Mild
No
Do you have other pets living in your home at this time? If yes, Please specify which types of pets and how many.
Would you prefer to have a male or a female Corgi?
Male
Female
No Preference
Whichever becomes available first
When are you hoping to add a Corgi to your family?
As soon as possible
2-4 months
4-6 months
6-12 months
1 year or longer
How will you make sure to get your puppy enough exercise?
Where will your puppy be sleeping?
Do you have a safe environment for your puppy to stay? How big is it?
What do you plan to do with your puppy if you move?
If at any time you can no longer take care of your puppy, what do you plan to do with him/her?
Are you aware that we require our puppies to be returned to us if you are unable to keep them?
Yes
Are you aware that deposits are non-refundable?
Yes
Are you willing to commit to 12 or more years of caring for your Corgi?
Yes
No
What is your preferred way of contact?
Voice Call
Email
Text Message
What is the best time to contact you? (Mountain Standard time zone)
Mornings (7 am - noon)
Afternoons (Noon - 5 pm)
Evenings (5 pm - 8 pm)
Call Anytime
Would you like to include professional obedience training with your puppy?
Yes, 2 weeks $1,200
Yes, 4 weeks $2,400
Yes, 8 weeks $4,800
No Thanks, I will do it
How do you plan to get your puppy home (We are located in the Salt Lake Valley area and We can meet you anywhere in the Salt Lake Valley area (on the planned date for your puppy pickup) free of charge)?
I will fly into Salt Lake City International Airport
I will drive to pick up my puppy
I would like to schedule a flight nanny (for an additional fee)
I'm not sure yet, I will let you know ASAP
Please tell us any additional information we need to know.
Submit Application
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