Application to Adopt

Are you applying to Foster or Adopt?

Name:

Address

City

Province

Email Address:

Cell 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)

Have you owned a Great Dane in the past?

What is your dwelling?

Do you own or rent your dwelling?

Where is the primary residence of the Great Dane?

Inside house
Outside
Garage
Other

Where will the Great Dane be kept while you are away from home?

Inside house
Outside
Garage
Other

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
Female
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 #

Veterinarian

Phone number for veterinarian