• Please provide the following contact information:

  First name
  Last name
  Organization
  Street address
  Address (cont.)
  City
  State/Province
  Zip/Postal code
  Work Phone
  Home Phone
  E-mail
  URL

Do you own or rent? Own rent If renting, does landlord agree to a dog? Yes No

Do you have a fenced yard? Yes No If yes, how high? Type?

If no fence, how do you plan on handling toilet duties? Explain in detail

How many children in household? Ages?

Do you own other dogs? Yes No How many? Breeds?

Ages? (list name, breed and age)

Do you own cats? Y/N How many? Ages?

Other pets? Y/N How many? Species?

Are your other pets spayed or neutered? All Some None

Are your pets up to date on vaccinations? Yes No Are dogs on H/W prevention? Yes No

Have you owned dogs in the past? Yes No

If yes, where are they now? Please detail.

Please give three personal references & phone #'s.

Your Vet information

Please tell us why you want a Great Dane?

How many hours will the dog be alone during the day?

Where will the dog be kept while you are working?

Where will the dog be kept/sleep at night?

Who will be the primary caregiver of the dog?

Age preferred? Color? Cropped or Natural Ears?

Male or Female preferred?

Personality traits preferred? Detail:

Undesirable characteristics? Detail:

Is this dog intended to be a gift for someone else?

Your application will be reviewed by the adoption committee and you will be notified shortly thereafter. Thank you for wanting to adopt your next best friend.

When submitting your application - PLEASE - click only once - and wait for your Confirmation Page before clicking out of this page. If you do not get to your Confirmation Page, the form will NOT go through.