Pre-Adoption Form
Great Dane Rescue of South Florida
Name:____________________________________________________________
Address:__________________________________________________________ City:____________________ State:_____ Zip:_______ Own/Rent______, If Rent, landlord approves? ____________ Home Phone:_______________Work
Phone:____________________ Age:_________Spouse Name:__________
Age:__________ Number of
children:_________________Ages:__________ Referred
by:________________________________________________________ Residence: Single Family_____Apt/Condo_____Trailer_____Farm_____Other____ Are you willing to permit a home
check? Yes____No____ Fenced yard? Yes____No____ Leashed walks?
Frequent_____Occasional_____None_____ How many hours left alone per
day?_____________________________________ Where will dog stay when
alone?_______________________________________ When family is
home?_______________________________________________ Do you currently own a
dog?________How many?______ Breed,sex,name and age of dog(s)_____________________________________ Have you ever owned a Great Dane (as an adult)?
______________ Do you have a preference about
male or female dog?_______________________ Do you have a color
preference?______________________________________ Ears: cropped__________or
uncropped__________
Pre-Adoption Form
Great Dane Rescue of South Florida Are you willing to travel to pick
up dog? Yes_____No_____ What age appeals to you most?
Pup____6-18mth____24-39mth____other_____ Are you aware of the yearly costs
of maintaining a heathly dog?______________ There is a $500.00 adoption fee for adult dogs (2 years & older) and $1000.00 for puppies.
Fees help cover vaccines, micro chips, spay/neuter, shots, & other
vet bills. Initial __________ Why do you want a
dog?___________________________________________ What aspect of a dog is most
important to you? Protection____Friendship_____ How would you prevent, manage
your dog’s inappropriate (not so good) Behavior?______________________________________________________ Are all members of your household
aware you are acquiring a dog?__________ Do they all
approve?______________________________________________ Who will be primary
caregiver?______________________________________ Disposition of prior dog(s):
stolen_____ran away_____sold_____given away___ died_____euthanized_____ Why?___________________________________________ Veterinarian Reference (name &
number, and name account was under)____________________________________________ Please print application and complete, then
send via text, to 561-748-4017 or Email to a82380@aol.com and GDRSF@yahoo.com, or Mail
to:
Anna Smith
10730 150th Court N.
Jupiter, Florida 33478
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