Dane interested in_____________________________________________
Name__________________________Address_____________________________________
Phone__________________ Work_______________Email____________________________
Children____________________________________Ages____________________________
Non-related residents: Housemates___ Staff____ Other_____
Residence: Apartment___ Single Family___ Farm___ Trailer___ Townhouse___ Boat___ Other___
Rural___ Suburban___ Urban___ City____ Own____ Rent___
Restrictions on pets if rental__________________________________________________________
Landlord's name and phone number____________________________________________________
Current Employers__________________________________________________________________
Do you have a pool or spa?Yes__ No__Is it fenced to prevent children/pets from accessing it?Yes__ No___
Fenced yard: Yes___ No___ Type__________________ Height_________ Size of yard___________
Are you willing to permit a homecheck Yes____ No____
Dogs currently owned (breed, age, sex, temperment)_______________________________________
__________________________________________________________________________________
Other pets currently owned___________________________________________________________
If not to the above have you ever owned a dog? Yes___ No___
Have you ever owned a giant breed before Yes___ No___
Where are all current dogs kept during the day_______________________ At night______________
__________ When the family is home___________________________________________________
What happened to ALL past dogs no longer with you Ran away____ Stolen ____ Sold____ Given Away____ Why________________________ Turned into shelter_____ Why__________________
______ Euthanised______ Why_____________________ Died_____ Cause____________________
What did you like best about your past dogs______________________________________________
What did you like the least about your past dogs__________________________________________
Are you away for extended periods (days) Yes___ No___ What will you do with your dog during these times______________________________________________________________________
What is your level of activity? Laid back(gone 1 or 2 nights a week beyond work)___ Constantly on the run (gone most nights of the week)___ In between (irregular depending on the week)____
Do you or anyone residing in the house have allergies to animals Yes___ No___
Why do you want a Great Dane?______________________________________________________
Have you ever crated a dog before? Yes___ No___ Are you willing to crate dog Yes__ No__
Leashed walks: None____ 1 x per day___ 2xs p/d____ 3 or more xs p/d____
How many hours will the dog be left alone per day?_____________________
Where will the dog be kept when alone during the day_________________ At night______________
When the family is home____________________________________________________________
Do you prefer a Male___ Female___
Do you have a color preference Yes__ No__ If so what color_______________________________
Ears Cropped_____ Uncropped_____ No preferance_____
Size: 28-30"s____ 31-34"s____ Taller then 34"s____ No preferance____
What age do you prefer the dog be? Under 6 months___ 6 months to 1 year__ 1 to 3 years__ Older then 3 years___
Are you willing to travel to pick up the dog Yes___ No___
How far are you willing to travel?____________________
How soon do you want to adopt a Dane? ______________________________________________
Are you aware of the yearly costs of owning a Great Dane? Annual vaccines, HW preventative, flea control, dental care, food, toys, and unforseen items and health problems all can cost more then with a smaller dog. A minor/major health issue can cost between $100 to $1500 or more. Are you willing to provide for all of the above? Yes__ No__ If no what are not you willing to provide_____________________________________
The following will help find the right dog for you. Please carefully consider all and mark all that apply
Why do you want a Dane? Training prospect__ Show prospect__ Companion__ Breeding animal__ Protection___ Hunter___ Appearance__ Child's companion__Companion for other dog__ Status symbol__ Friend has one__ Extra large size___
What aspect of a Dane is most important to you? Appearance__ Agility__ Obedience__ Easy to care for coat__ Quiet companion__ Friendly attitiude___ Adaptabilty__ Other_______________________
What physical features are most important to you?_________________________________________
What traits do you prefer a Dane not have? Shedding___ Barking___ Digging___ Chewing__ Drooling__ Odor__ Jumping___ Lack of obedience__ Other_________________________________
Are you willing to take your new Dane to obedience class? Yes__ No__ If no why_______________
What level of activity do you prefer your Dane have? High__ Some__ Total couch potato____
What level of responsibity will children in the house have with the Dane: T=total S=some L=little N=none
Housetraining___ Socialization___ Feeding___ Grooming___ Training__
How much adult supervision will be given when the Dane and Child(ren) are together?
None__ Little__ Some__ All the time___
With neighborhood children None__ Little__ Some___ All the time____
If no children reside with you how often will the Dane be around children?Rarely__ Some__Often__
What kind of temperment do you prefer in a Dane? Leader__ Follower__ Friendly__ Aloof__ Outgoing__
How will you encourage appropriate behavior in your dog? __________________________________
How will you discourage inappropriate behavior in your dog?________________________________
Are there any other comments about that you are looking for in a Dane that have not been covered?
_________________________________________________________________________________
Are all members in the household aware youa re acquiring a dog? Yes__ No__
Do they all approve Yes__ No___ Are all willing to care for the dog Yes__ No__
Who will be the primary caregiver______________________________________________________
Have you applied with other rescues or shelters for a dog? Yes___ No__ Have you ever adoted from another rescue or shelter? Yes__ No__ If yes who (Name and Number)________________________
May they be used as a referance? Yes__ No__ Have you ever been turned down by a shelter or rescue Yes___ No__
Referances May we check the below referances? Yes___ No___
Veterinarian______________________________________________
Phone__________________________________________________
Other___________________________________________________
Phone__________________________________________________
By returning this application you are stating that the information provided is true and correct and that no misleading statements have been given. We reserve the right to refuse adoption for any reason.
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