Your honest and complete answers will help us find the best possible match for you and your family. All information given will be randomly researched.
Applicant and Family Information
Name:
Driver's license number & state:
Spouse name:
Home phone:
Work phone:
Number of children and ages:
Occupation:
Employer name:
Address:
Phone number:
Spouse occupation:
Employer name:
Address:
Phone number:
How soon do you want to adopt?
How long are you willing to wait for the right dog?
Home Information
Address:
Own or rent?
If renting are there pet restrictions such as weight or breed?
Landlord's name:
Phone number:
How long have you lived at the above address?
If less than 5 years, please list previous address:
Is your current address rural, suburban, or urban?
Yard size
Fenced area- type & height
(Home visits are mandatory before and after placement!)
Care Information
Have you ever owned a Great Dane before?
If not, what made you decide to adopt a Great Dane?
Does the entire family want this dog and plan to participate in it's care?
How many hours a day will this dog be left home alone?
When left alone will the dog be left in the house, in a crate, kennel run, or fenced yard?
(as stated in contract tie outs are grounds for repossession)
Where will the dog be spending the majority of his/her time?
Are you aware of the yearly cost of maintaining a Great Dane-food, routine veterinary care, heartworm preventative, flea/tick control, toys, treats, and accessories?
How much time are you willing to spend with the dog per day- walks, playtime, socialization?
Are you prepared to take the dog to obedience training if needed?
Some rescue dogs have pre-existing health conditions, this is often the reason they are dumped by previous owners. While we do our best to disclose any health conditions that come to our attention during the time dogs are in our care, we cannot possibly guarantee health since such limited background information is available. Are you willing to accept responsibility for medical needs in addition to routine care?
Do you travel frequently and if so how will the dog be cared for in your absence?
If you had to make a long distance move, would you choose to take the dog with you or rehome the dog?
How would you encourage and reinforce your dog's appropriate behavior?
How would you prevent and manage your dog's inappropriate behavior?
Preferences- The best match for you
Would you prefer a male or female dog?
What is your color preference?
Ears cropped or uncropped?
What age appeals to you most? 0-6 mos_____ 6-18 mos_____24-36 mos_____5ys-up_____ Why?______________
What kind of temperment is best for your family?
If you have no small children how often will the dog be in contact with small children?
Do you have any further cooments on why you want a Great Dane?
History & References
Please list all pets in the last 5 years, living and deceased. If living, please include the number of years/months owned by you. If deceased, please include cause of death. If placed in another home, please explain circumstances.
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Are your current pets up to date on vaccinations & heartworm preventative?
Are they spayed/neutered?
Veterinarian name:
Address:
Phone:
(Please call your Veterinarian and give permission for us to call in reference to your previous & current pets.)
Personal reference name:
Address:
Phone:
Relationship to applicant:
Applicant Signature__________________________Date_______
