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Puppy Application

Riverbend Cardigans

Kim and Kathy Gibson

This questionnaire is designed to help assist us in making the successful placement of a puppy. It supplies us with information about your lifestyle, experience, and goals as a potential Cardigan owner. Please fill out the questionnaire in its entirety with as much information as you can provide. You may then copy and paste it into an e-mail to us: kimgibson(AT)mchsi.com or print a copy and mail to us.


E-Mail Address

Street Address

Mailing Address (if different)

Home Phone

Cell Phone

Occupation(s) and employers

Will this be your first Cardigan Welsh Corgi?

If so, what has drawn you to the breed?

Have you lived with a Cardigan or other herding breed before?

Describe the characteristics of your “perfect dog”:

Do you prefer a male or a female, and why?

Do you have any color or coat preferences?

(We sometimes have “fluffy” puppies, who have a more profuse and softer coat)

Are you looking for a show or pet puppy?

What are your favorite hobbies?

Describe your living situation: own/rent, single-family, or apartment, lot size, etc:

If you rent does your lease allow dogs or does your landlord know and approve?

Are there any restrictions from a Homeowners Association?

Landlord’s/HOA name and e-mail or phone number if applicable

Do you have a fenced yard or dog area? If so, how tall is the fence and how large is the area?

Does it have shade?

List all household members. If children are included in your family, please list age and gender of each.

Are all of the members of the household in agreement about acquiring a Cardigan?

Do any of your family members have allergies? (Describe)

List other pets or animals you have (species, breed, age, sex neutered intact):

What other pets have you had in the past?

Who will have primary responsibility for care?

Feeding?  Grooming? Walking?

Where will the puppy spend his/her days?

What is the longest time a responsible adult is gone from the house for school or work?

Where will the puppy spend his/her nights?

How will the puppy ride in your vehicle?

Have you ever trained or shown a dog in AKC obedience, agility, conformation, or other activities? (Describe)

Are you willing to take the puppy to at least two levels of puppy obedience class at your local kennel club, pet store or equivalent?

What activities might you be interested in pursuing with your Cardigan?

(Examples: Obedience, Herding, Tracking, Agility, Conformation shows, Breeding, Therapy, Hiking, Household companion)

Are you or have you been a member of any dog clubs or organizations? (Please list)

Personal references (e-mail preferred, or telephone):

Veterinary reference:

May we or a representative visit your home?

How far are you willing to drive for a puppy? If you are distant from us, would you be willing to fly to pick him or her up?

I hereby certify that all the information contained in this application is true and correct. This application is not an agreement to buy or sell a puppy but is a tool to aid in the placement of a puppy. No actual sale will be considered final until a bill of sale and contract is signed by and delivered to both parties.

Name:  Sign and print:

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