By entering my name in the field below, I/we acknowledge that all information on this form is true and correct. I/we understand that any misrepresentation of fact may result in Harlow Cane Corso refusing adoption privileges to me/us. If my/our request for adoption is approved and later Harlow Cane Corso discovers the above information is not true or correct, Harlow Cane Corso reserves the right to refuse sale.