Are you applying to Foster or Adopt?
Email Address:
Home Phone
Cell Phone
Work Phone
Do you presently have any animals? (Please note: Pot-Bellied pigs, or any other member of the pig family are instinctive prey for Great Danes) List Breed, age and reproductive status (spayed, neutered, intact)
Other that current animals how many have you owned in the past? List what happened to them.
Why do you want to adopt a rescue Great Dane?
Have you owned a Great Dane in the past? (if yes skip the next two questions)
If no, have you had exposure to the breed?
If yes, where
What is your dwelling?
Do you own or rent your dwelling?
If renting, does your lease agreement allow for large dogs within the premises?
Please provide the landlord's name and phone number
How long have you lived at this address?
How large is the property?
Do you have plans to move in the next 5 years?
When you go on vacation, what plans will be made to accommodate your Great Dane?
Do you have any experience house training a dog?
Do you have any experience in basic obedience training?
Are you willing to crate train if necessary?
On a regular day, how many hours will the Great Dane be left alone?
Where is the primary residence of the Great Dane? Inside house
Where will the Great Dane be kept while you are away from home? Inside house
How many family members reside in your household?
Are there people home during the day?
Are there children (18 and under) in the home?
Please list children's ages
Will each member of your family be available to meet a potential adoptee?
Do you have any preferences for a rescue Great Dane? Male
Puppy (2-12 month)
Young adult (1-3 years)
Mature Adult (3+ years)
Do you have a preferred color? ex: Harlequin, black, fawn, brindle
Is there anything else you would like us to consider that would assist us to determine a proper placement for you?
References: Full name
References: Relationship
References: Company
References: Phone #
Phone number for veterinarian

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