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Lisa Dawkins


Crown Corgi Puppy Questionnaire

Here at Crown Corgi we breed excellence in our Pembroke Welsh Corgis. We care about all of our Corgis & are committed to
finding them great homes. As our puppies mature we get to know their individual personalities and the information you provide us
below will help us guide you in making the right choice for a puppy that realistically suites your lifestyle needs and goals in a new life-
long companion. If you are new to Pembroke Welsh Corgis, we hope the information you find here on my website will help you do
your research to ensure this breed is right for you..

Home Address:  
Phone numbers:  
Email address:  
Are you over the age of 18? If no does your parents know you are inquiring about a puppy?  
Why a Pembroke Welsh Corgi?  
Please list the names of the adults in your home:  
Please list the names of the children living in your home and their ages:  
Have you had a dog previously? Y or N  
Do you currently have any other animals? If yes, please list breed/age/sex/ & whether it's spay/neutered:  
Who will be the major caregiver of the pup?  
Where will your pup spend the days and nights?  
Which sex do you prefer and why?  
What is your preference on color what would you choose in order?   BLACK HEADED TRI , RED HEADED TRI, SABLE, RED N WHITE(FLUFFY)
Will you consider an older dog?  
Will you use a crate for your pup?  
Have you met a dog of the breed you are looking for?  
Do you have a fenced yard? How tall and what type is your fence? *If you have no fence please explain how you will handle the pups exercising/Toilet duties:  

Are you willing to neuter/spay your dog around 12 months of aged?

You know this is a herding breed and will need lots of training?  
You also know they will herd you also? As in heel biting , you should correct if you don’t  have any livestock for them to herd.  
Are you aware that they are a double coated breed that sheds its undercoat heavily in the spring and again in the fall and can shed continually if kept indoors?   
You know these dogs can be barkers?  
Do you plan to take your pup/dog to an obedience class?  
You understand these dogs need lots of exercise? Keeping the mind busy..  
Does anyone smoke inside the house?  
Does anyone in your home currently suffer from allergies?  
Do you live in a house or apartment? Rent or Own? *If you rent does your Landlord allow pets? Would you object to our contacting your landlord?  Landlords name & phone number:  
How long have you lived at current address?  
Are there flights of stairs that the pup/dog will be required to go up and down daily, and on a regular basis?  
What type of Corgi are you looking for?
-Show  Breeding Performance
- Herding / Agility
- Companion/Pet
If for Show/Breeding have you ever titled a dog before in conformation?  If yes, please tell me the names/breeds of the dogs you titled:
-If no, please tell me if you'd have a problem with co-owning the dog until you have titled your first one:
Are you willing to obtain proper medical care for this dog, such as yearly boosters, cleaning teeth, etc?
-Name/Address/Phone number of your Vet. so that we make contact them as a reference:
Since we don't know you please list 3 references of people NOT living in the house hold (Name/Address/Phone/E-mail):  
When are you looking to purchase this puppy or dog?  
Are you willing to keep me informed of any changes in your address for the life of the pup/dog?  
Are you willing to sign a purchase
agreement provided by me?
Where do you plan to be living in 6 years?  
Will you keep me updated with address if it ever changes?  
My contract requires that you agree to return this dog to us if you can no longer keep it. Would this be a problem?  

Getting a purebred AKC Pembroke Welsh Corgi must have taken some great thought and finding a responsible breeder of
them even more time consuming. We as responsible breeders take a lot of our time, money and emotions in to every litter.
What do you think is the going rate of a companion/pet/performance puppy is? ____________

A well-bred, health tested, well-tempered puppy with good basic socialization is surely more than a pet store puppy.
Please write a few paragraphs outlining why you want a dog and what you expect your dog to add to your family.


I hereby certify that all the information contained in this application is true and correct. I certify that my purpose in acquiring
a pup/dog is primarily as a family pet. This application is not an agreement to buy or sell a puppy but is a tool to aid me in the
placement of a puppy. No actual sale will be considered final until a contract is signed by and delivered to both parties.
Signature:                                                                       Date:



Please submit the questionnaire above if you wish to be placed on the next in line list. We typically have puppies available
within 6-12 months, depending on your preferences. We will contact you when our next litter is born. At that time we require
a non-refundable deposit to reserve one of our Pembroke Welsh Corgi puppies for you


                                                                               image pic
                                                                                  GOT CORGI?
 Please fill out in word document, copy & paste and email this
 to me at