Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you own or rent your home?
Yes
No
If you rent, please provide landlords name and phone number.
Is your backyard fenced in?
If not fenced, how do you plan to exercise him/her?
Have you ever owned a Great Dane or Large/Giant Breed dog before?
Are you aware of Bloat, Wobblers, DM and Knuckling in Great Danes?
How many animals do you own? (Please provide gender, breed, spay/neuter status)
Do you have any children? (If yes, how many and their ages)
How long will this puppy be left at home alone?
What do you plan to do with the puppy while you are gone?
Where will the puppy be when the family is home?
Are you willing to spay/neuter your puppy? (If no, please explain)
Are you willing to crate this puppy if needed?
Are you willing to take your puppy to obedience training?
Do you understand that your puppy can never be sold or given away in the event that you are unable to keep it?
Do you understand that our puppies are sold on Limited Registration?
Please provide your Veterinary information.
Please provide 3 unrelated references name and phone number.
Are you interested in a Male or Female?
Are you interested in a specific color? If yes, what color?)
Signature
Submit
Submit
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