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Applicant Info

Important Information

• $25 non-refundable application fee for all adopters (Foster applicants exempt)
• Pay via PayPal to southernstylegdr@gmail.com
• Applications not processed until fee is received
• ONLY complete if adopting within the next 90 days
• ALL fields marked * are required

Application Type *

Dog Name *

First Name *

Last Name *

Age *

Email *

Home Phone *

Cell Phone *

Best Time to Call *

Co-Applicant Name

Co-Applicant Age

Street Address *

City *

State *

Zip Code *

I must be willing to travel for out of state adoptions. We do NOT ship our Danes via air or multi-dog transport. *

Place of Employment *

Why do you want to adopt a Great Dane? *

Do all household members want to adopt? *

YesNo

Have you owned a Great Dane? *

YesNo

Preference in a Great Dane *

Please explain (color, age, gender, etc.)

Do you consider yourself/family to be active in such a way that would include your Dane? *

YesNo

Please explain *

List name and ages of all humans in your household *

Some Danes may require all children in the home to be 8+ years to adopt.

List all dogs current and previous *

(name, gender, age, breed, spay/neuter, living/deceased). All dogs MUST be spayed/neutered & UTD on vaccinations UNLESS documented health reason.

If your dog is not spayed/neutered, please explain why

List all cats current and previous *

(name, gender, age, breed, spay/neuter, living/deceased)

If your cat is not spayed/neutered, please explain why

Other animals? *

Have you ever sold, rehomed, surrendered or put down a pet? *

YesNo

If yes, please explain

If no children in home, will Dane have regular contact with children under 8? *

YesNoN/A – Have children

If yes, please explain

If no other pets, will Dane have regular contact/socialization with others? *

YesNoN/A – Have pets

Please explain *

Does anyone in household have allergies or asthma? *

YesNo

If yes, who and what kind?

I am aware that dogs can shed all year around *

Who will care for, train and exercise your Dane? *

How will you exercise your Dane? *

Will the Dane be walked daily? *

Have you ever owned a dog for which you were the primary caretaker? *

YesNo

If yes, please explain

If you do not currently have a pet, please list past vet info and/or who you intend to use.

Name of veterinarian *

Veterinarian address *

Veterinarian phone *

Agree to have annual check ups *Agree to formal obedience training, if needed *

Own or Rent? *

OwnRent

Time at current residence? *

If renting, has landlord provided written permission for large breed?

YesNoN/A – Own home

Property owner name and contact number

Do you have a fenced yard? *

YesNo

If yes, please describe the yard

Where will the Dane live? *

Where will the Dane sleep? *

Where will the Dane eat? *

Allowed on furniture? *

YesNo

Free run of house? *

YesNo

Hours per day Dane alone without humans? *

Where kept when you are not home? *

Familiar with using a crate? *

YesNo

Planning to use a crate? *

YesNo

What do you do with your pets when away from home overnight? *

I am aware that costs for maintaining a Dane can average $1000 or more per year *

If you move, what will you do with your Dane and other pets? *

I would allow follow up home visits from a rescue representative *I am aware of state/local ordinances concerning dog licensing and leash laws *

Has any household member been cited for licensing or leash law violations? *

YesNo

If yes, please explain

I will call SSGDR at the onset of any illness or health problems within 30 days following adoption *

What would you do if one of your pets requires significant/costly medical attention? *

Personal Reference One *

(name, phone, email, relationship, years known)

Please do not list family members

Personal Reference Two *

(name, phone, email, relationship, years known)

Please do not list family members

Are you willing to give the new Dane at least 30 days to ensure proper adjustment? *

YesNo

If no, please explain the conditions you would return

Have you researched Great Danes? *

Any questions or comments to the rescue?

How did you hear about us?

By submitting this application, I agree:

I/We agree to cooperate with Southern Style Great Dane Rescue in its attempt to provide a smooth adoption. I agree to contact SSGDR about problems that might arise in the future. Should the dog need to be removed or euthanized (before normal old age), I/We will contact SSGDR first to determine if the dog might be placed elsewhere. *I certify that the information I have provided is true, correct and complete to the best of my information and belief and that I have not willfully concealed any information in answering these questions. *

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Adoption Application

Applicant Info