Pembroke Welsh Corgi Puppy Reservation

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Name *

First

Last

Email *

expectations & you

Phone *

Street Address

City & Province

Postal Code

Website

Gender Preference *

• Male
• Female
• No Preference

What are your expectations for your Pembroke Welsh Corgi Puppy? *Companion DogTherapy DogShow DogWorking DogBreeder Dog

Do you have any other pets in your household? *

• Yes
• No

If yes, please list their species, breeds, ages, and temperaments.

Are you aware of the Corgi breed’s characteristics?

• Yes
• No

What attracted you to the Pembroke Welsh Corgi? *

Is there any additional information you would like to share with us in the placement process?

Submit

Thank you for submitting your application! By completing this form, you confirm that all provided information is accurate to the best of your knowledge. Please note that submitting this application does not guarantee a puppy or a specific selection. We carefully review each application and reserve the right to decline based on our evaluation of suitability. We appreciate your time and effort, and we’ll be in touch soon after reviewing your application.