MAGIC GREAT DANES INC.                                                                                                                                                                                                                                                                                                                     
                                                                         ADOPTION APPLICATION

This completed questionnaire will help us pick the very best dog for you, your family and your lifestyle.  It is very important that we find the correct home for every rescued Great Dane in our program.  Completing this questionnaire will tell us whether you would do better with an active or lazy, soft or dominant, independent or submissive dog.

Please fill out ALL of the information requested.  An incomplete application will be discarded.  (Use as many sheets of paper as necessary).

1.	Name:  _________________________________________Age__________	Date:   __________	
2.	Address:  ________________________________ 	City: ________________State: ___  ZIP:  _______
3.	How long at current address:   _______________________
4.	Telephone number(s):	Home:   (_____)  ________________E-Mail:___________________________
		Work:    (_____)  ________________
5.	Married  ____Single____
6.   Employer_________________________________________________________________
	Spouse?  _________________________________________________________________
7.	Occupation(s):   ___________________________________________________________
8.	Number and ages of children living in household:  _________________________________
9.	What type of area do you live in?	City  ___	Suburb  ___	Rural  ___
10.	What type of housing?	Apt.  ___	Condo  ___	Duplex  ___	House  ___	Other  ___
11.	Do you rent or own your home?  ______________________________________________
12.	If you rent or lease, do you have permission from your landlord:
		to own a dog?	Yes  ___	No  ___
		to own a Great Dane?	Yes  ___	No  ___
               Name and phone number of landlord:__________________________
13.	a)	What other dogs have you previously owned?  ________________________________
		_____________________________________________________________________
	b)	What happened to them?  (Please list)  _______________________________________
		_____________________________________________________________________
14.	What other types of animals live in your home?  _____________________________________
	a) Are they spay/neutered?     Yes______               No________
15.	What do you know about the Great Dane as a breed?  __________________________________
	___________________________________________________________________________
16.	How did you hear about our Great Danes, and who referred you to us?  _____________________
	___________________________________________________________________________
17.	Do you have a preference to the sex of the dog?  Male ___  Female  ___  Don’t Care  ___
	If so, why?   _________________________________________________________________
      Color preference?____________ Age preference?___________________Size preference?_______
18.	a)	Do you have a fenced yard?	Yes ___	No ___	Height of fence __________
	b)	Describe your fence (type, construction, etc)  ___________________________________
	c)	If you don’t have a fence, where and how will the dog be exercised and be allowed to
		eliminate?  ______________________________________________________________
19.	What member of the family will be taking the MAJOR responsibility of caring for this Great Dane?
	____________________________________________________________________________
20.	What are your plans and goals for this dog?  _________________________________________
	____________________________________________________________________________
21.	a)	Have you ever trained a dog in obedience classes?	Yes  ___	No  ___
	b)	Will you take your Great Dane to an obedience class?	Yes  ___	No  ___
22.	Will the dog live in the home?	Yes  ___	No  ___
	If not, where?  ________________________________________________________________

23.	Where EXACTLY will the dog sleep at night and be kept when there is no one at home?
	____________________________________________________________________________
	____________________________________________________________________________
24.	Do you believe in dog crates?	Yes  ___	No  ___
25.	What are the major activities, hobbies, or exercises you and your family most participate in?
	____________________________________________________________________________
26.	If you move, what will you do with your dog?  _______________________________________
	____________________________________________________________________________
	____________________________________________________________________________
27.	When you go on vacation, where will your dog go and who will care for it?  _________________
	____________________________________________________________________________
28.	Who is the veterinarian that you have or would use?  Please provide all information:
	Name:  ______________________________________
	Address:  _______________________________________________
	Phone:  ________________________
29.	How will your dog travel to the Vet or other places? (In a car, van, back of a pickup truck, etc)
	____________________________________________________________________________
30.	Do you mind if we call your Vet and ask how you take care of your animals?  Yes ___  No  ___
	If yes, why?  __________________________________________________________________
31.	Are you willing to allow a Great Dane Rescue representative to periodically visit your home?
	Yes  ____   No  ____  If no, why?  ________________________________________________
32.	Please list the names, addresses, and phone numbers of two (2) personal references (not related)
	that you have known for at least two (2) years:	
	1.	____________________________________________________
		____________________________________________________
	2.	____________________________________________________
		____________________________________________________
33.	Please tell us a little about yourself and why you feel you could provide a good home for a rescue
	dog:  ________________________________________________________________________
	_____________________________________________________________________________
	_____________________________________________________________________________
	_____________________________________________________________________________
34. Are you aware of the yearly costs of maintaining a healthy dog? Yes_____ No______
35. Are you aware that there is an adoption fee to help cover the costs of spay/neuter, vaccines, etc? Yes____ No____
36. Are you willing to spay/neuter your pet? Yes____ No____
37. How would you encourage, reinforce your dog's appropriate (good) behavior?_____________________________
_________________________________________________________________________________________
38. How would you prevent, manage your dog's inappropriate (not so good) behavior?__________________________
_________________________________________________________________________________________
39. How many hours will the dog be left alone per day?__________
40. Why do you want a Great Dane?______________________________________________________________
_________________________________________________________________________________________
41.  Do you or anyone in your home smoke?____________
42. 	Have you ever owned a giant breed before?___________
43. 	Do you know many of the dogs in rescue programs have been neglected/abused by their former owners? Y______N______
44. 	Do you realize that dog ownership is a commitment for the natural life of the dog? This dog will never be resold or given away, but returned to Great Dane Rescue, should the owner no longer be able to keep it. Y____N____

_____________________________________________
(signature of applicant)

WE RESERVE THE RIGHT TO REFUSE ANY APPLICANT

Complete and return to:  Magic Great Danes Inc.
593 Sylvia Rd.
West Melbourne, Fl. 32904
danemagic@yahoo.com
www.geocities.com/danemagic

12/13/2007