Thanks for your interest in adopting a dane!

Do not fill this out. For some reason we are having a problem with getting some of your emails. 

This just gives you a general idea what the application will look like. The person who is fostering the dog will send you an application to fill out (via email or mail). 

Thanks so much!

 

DANE INTERESTED IN :

Name:
e-mail:

Address -
Street
City
Zip

Phone:            (w)                 (h)

Referred by: 
Occupation :

Age:            Spouse Age: 
Children Number:       Ages: 
Planning on children (when) :


Non-related residents:Housemates _____Staff ____Other______
Residence:Apt/Condo___Townhouse__Trailer___Single Family___Farm: ____
Boat: ____ Other: ____

Own: ____ Rent: ____ Landlord's phone no._____________
Are there any size or weight limits ?

Rural: ____ Suburban: ____ Urban: ____ No outdoor area:__
Size of living area:

Do you have an above ground or inground pool ?
Is it securely fenced to prevent children/pets from accessing it ?

Are you willing to permit home-check by placement agency?
Yes:____ No: ____

Fenced yard: Yes: ____ No: ____
Size of yard :
Leash walks: Frequent_____ Occasional_____None____

How many hours will dog be left alone per day?
During what time frame?
Where kept when dog is alone: During day:
During night:            When family is home: 

Is there any aspect of your home a puppy could affect (white carpet,antiques, etc.)

What is your level of activity: Laid back: __    Constantly on the run: ____


Do you or anyone in your family have allergies to hair or dust? Physical impairments?

What are your hobbies?
Do you travel: ___ RV: ____ Boat: ____ Auto: ___ Other: ___

Are you often away for extended periods?
Will you board the dog or take along with you?


Why do you want a Great Dane ?

Have you ever crated a dog?
Are you willing to crate your new Dane if needed? 


1. Do you currently own a dog (breed, sex, age):


2. Do you own any other type of pets?


3. Have you owned any dogs in the past? What did you like best about him?

What did you like the least?


4. Do you have a preference about male or female dogs:
Is color important: _____ if so, what color
Ears : Cropped / Uncropped?
Size : Medium ___  Large ____


5. Some rescues have pre-existing health conditions/problems that may require further . care by the adopter ( allergies,canine hip dysplasia, cataracts) Would you adopt a dog that has health problems?____


6. Are you willing to travel to pick up dog: _____ How far: ___

7. How soon do you want this dog:

8. What age appeals to you most?
         7 weeks: __   12 weeks: __   Young adult: ___  Older dog: ______

9. Are you aware of the yearly costs of maintaining a healthy dog ? Yearly vaccines can be $40-$60. Then there is heart worm preventative (daily or monthly), flea control (pet & premises), dental care, food, accessories, as well as many other unforeseen items/circumstances (such as an accident or illness). Are you prepared to meet these requirements ?


10. There is usually an adoption fee (our standard adoption fee is $xxx) to help cover vaccinations,neutering/spaying and any other medical need, are you aware of this ? 


Here is a series of important questions. Answering all carefully will help
in selecting right dog for you.

1. Why do you want a dog?
____ Protection  ____ Friendship  ___ Hunter  ____ Child's friend   ____Appearance
___ Breeding animal    ____ Show prospect     ____ Training prospect


2. What aspect of a dog is most important to you.
____ Appearance ____ Agility____ Easy care coat ____ Quiet companion____ _____Game player ____  Quick obedience____ Friendly attitude ____ Adaptability


3. What would your ideal dog look like? Are there some physical features you're especially looking for, or especially don't like in a dog? 

4. What doggie traits turn you off?
___ Drooling ___ Odor ___ Jumping___ Chewing ___ Shedding___ Digging
___ Barking


5.  Are you willing to take your dog to obedience training?

6.  Activity Indoors: Some dogs are lively and curious in the house, they
like to play with you and follow you around. Some dogs lie down most of the
time. Do you think an active dog would annoy you?

7.  Children: A child should not be placed beyond its level of competence
and reliability with any pet. How much responsibility will your child be given in the
care and management of the dog?

T = total S = some M = minimal N = none
__  Housebreaking  __ Socialization   __ Feeding  __ Grooming __ Obedience Training

How much adult supervision of dog and child will be provided?
_____ Maximum _____ Some _____ Minimal _____ None

With neighborhood children:
_____ Maximum _____ Some _____ Minimal _____ None

If adjoining neighbors have children,how old?_________
If no children reside with you, how often will your dog come in contact with children?
_____ Often _____ Occasionally ____ Never


11. Leadership: Breeds vary in how much leadership they require. Some dogs
are natural leaders, they're bold or stubborn, they'll take advantage of any
mistakes you make or any indulgence, and you really have to work hard to
convince them that you're the boss. Would you feel comfortable in the "leader" role, if need be ?


12. With Visitors: How would you like your dog to behave? Do you want him
to be friendly or aloof? Some breeds are not very outgoing and they prefer
to come over to people gradually or sometimes not at all. Would you be
embarrassed if he refused to come over to someone who wanted to pet him?

13. Temperament desired:
Natural leader: ____ Follower: ____Friendly:____ Aloof: ____ Outgoing: ____
Activity level: High ____ Moderate ____ Low ____

14. If you could call up and order a dog from a catalog, what would you say:
"I'm looking for a dog who is ..."



15.  How would you encourage, reinforce your dog's appropriate ("good")
behavior?

16. How would you prevent, manage your dog's inappropriate ("not so good")
ill-timed behaviors?


17. Do you have any further comments about why you want a great dane or what type of specific traits you want that has not been covered?


Are all members of your household aware that you are acquiring a dog?________
Do they all approve? _______
Are all willing to be somewhat involved in the care and raising of this dog?

Who will be the primary caretaker?______________

Disposition of prior dog(s)
Ran away ____ Stolen ____Sold ____ Given away ____ Why_____
Given up for adoption to rescue organization or animal shelter________
Why__________
Euthanized _____ Why ________________________________
Died ____ Cause of death__________________________



References :
May we check with any or all of the below references ?


Veterinarian (name & number) :

Trainer (if any) :

Other :


We reserve the right to refuse any adoption for any reason.