Name:
ADDRESS
CITY,STATE,AND ZIP CODE
PHONE NUMBER
Email Address:
Do you own your home or rent?	own my home renting
Have you owned a great dane before?	Yes No
If yes, then who did you get it from and what happened to it? Do you still own it?
Do you have other pets? If so, what are they?
How many adults in your household?	1 2 3 4 more
what age range are you in?	18-25 25-30 30-40 40-50 50-60 older than 60 or retired
Do you have children?	yes no
If yes, then how old are they?
When do you want to get your great dane?	now in a few months next year some time in the future
Are you interested in a male or female?	Male female either sex is fine
What color are you interested in from us. We only breed fawns and brindles.	fawn brindle either
What are your plans for this puppy? You can mark any that apply.	conformation show ring pet for breeding obedience agility tracking walking partner running partner family protection pet therapy work
Where will this puppy be during the day while you are gone?	in a crate loose in the house in the basement in the garage outside in an outdoor run other
Do you plan on spaying or neutering your puppy?	Yes No
Would you possibly be interested in a older puppy or young adult?	Yes No Maybe
Have you ever had to give up your dog? If yes, explain.
What kind of exercise will be provided for this puppy?
Do you plan on taking your puppy to a puppy training class?
Do you have a fenced yard?	Yes No
Have you read our terms of Sale page?	Yes No
Is there anything else you would like to tell me about you and your family?
What type of vehicle do you plan on using for transporting your great dane on a daily basis, to the vet and training clases, etc?
Is everyone in your family committed to getting a great dane?	Yes No
Where will this puppy be sleeping?
How many hours will this puppy be alone during the day? Do you have someone who will be letting the puppy our during the day while it is a puppy while you are gone?
Are you willing to stay in contact with us for the life of your pet to let us know how he/she is doing.	Yes No
Please give us at least 3 references we can call. Give full name and phone number. One of them should be your current or past veterinarian.
Have you answered every question on this form? If the answer in No your questionaire will not be considered. Thank you for taking the time to give me the information I need to help place puppies in the correct home.	yes no