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Names (all adults in household):
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Email Address:
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Physical Address:
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COUNTY (not country) you reside:
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Phone #s:
home:
cell:
best time to call?
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How long have you lived at this address?
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If renting, please give name and address of landlord:
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If renting, does the rental contract allow large dogs?
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How did you hear about us?
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Type of dwelling:
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House-neighborhood
House-rural w/ property
Condo
Apartment
Mobile Home
other
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Do you have a fenced yard?
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yes
no
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If yes, please describe the type/condition of fencing/how high:
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Is your interest in having a Dane to have as a pet or to show?
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Why would you like a Great Dane?
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What are some traits or characteristics that you find desirable in a Dane?
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What are some traits or characteristics that you find undesirable in a Dane?
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Do you understand the difference between limited registration and full registration?
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Have you ever owned a dog(s) before?
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yes
no
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If yes, how many/when?
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Do you currently have any other pets/animals?
If yes, what kind?
Are they spayed/neutered?
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If you've owned a dog(s) before, what breed(s), what was your experience with this breed(s), & what were the circumstances of their death?
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If you have previously owned great Dane before, where was it purchased from (breeder or kennel name)?
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Name, address, & phone # of veterinarian:
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Number and ages of children living with you or regularly visiting:
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Do you plan on adding a baby to the family in the near future?
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Does anyone in your household have allergies to animals? If yes, to what and how severe?
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Have you ever taken a pet to the pound or shelter? If so, what were the circumstances?
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Who will be the primary caregiver?
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Where will the puppy be kept during the night?
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Where will the puppy be kept during the day?
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Where will puppy be kept when family is on vacation?
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Is anyone home during the day?
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yes
no
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If yes, who and when?
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How many hours, on average, will the puppy be left alone?
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Please tell me what the caregiver's typical day (schedule) looks like:
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What do you expect a great Dane's activity level to be?
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Where will the dog be kept when no one is home?
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How will the pup be confined when outside?
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Do you know about/researched some of the diseases that can affect Great Danes? If yes, please tell me the ones you are familiar with?
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Do you know or have you decided on the type of diet/food you will be feeding? If so, what?
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Have you ever house trained a dog before?
If yes, tell me about it.
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Do you have a crate?
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yes
no
no, but plan to get one
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Will you socialize the puppy? If so, how will you accomplish this?
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What kind of floor surfaces will the dog be on?
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Do you plan to attend any puppy training classes?
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Do you have a color preference?
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yes
no
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If yes, please check which color(s) you prefer:
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Harlequin
Mantle
Merle
Merlequin
Mantle-Merle
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Please select if you have a gender preference and/or if you are open to either:
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male
female
I'm open to either
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Do you have experience with ear cropping? If yes, what?
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Are you happy with leaving the ears natural?
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Please list names and phone numbers of at least two other individuals, not related to you, who know or have known your other animals.
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Have you or anyone in your immediate family ever been charged with neglect or cruelty to animals or child abuse?
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yes
no
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May we, or a representative of ours, visit your home and/or check with the references you have provided?
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yes
no
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These puppies are extensions of our family in a way :-) ... would you be okay with letting us know how things are going (& maybe sending a pic or 2) every now & then??
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Anything you'd like us to know that we missed?
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