Adoption Application

The information you provide will help us in placing the dog with the most suitable family.  Please feel free to add more details in the comments section.


APPLICANT INFORMATION
  Email Address
  Verify Email Address
  Name
  Street
  City
County (e.g. Orange, Osceola)
  State Zip 
  Home Phone
  Alternate Phone ext.
  Marital Status
  Occupation
  Employer
  Age
  Age(s) of Children
  Planning on Children Yes No
When?
  Referred By
  Co-Applicant Name
  Co-Applicant Relationship to Applicant
  Co-Applicant Occupation
  Co-Applicant Employer
  Co-Applicant Age
  Co-Applicant Alternate Phone ext.


RESIDENCE INFORMATION
  Other residents besides spouse and children
Please explain
  Type of residence
Please explain
  Do you Own Rent
Landlord name
Landlord phone ext.
  Are there any size or weight restrictions on pets where you live? Yes No
  Location of residence
  How long have you lived at this address?
  Do you plan to move in the next year? Yes No
  Size of living area sq. ft.
  Size of yard
  Fenced yard Yes No
  Leash walks
In-ground pool Yes No


PET INFORMATION
  How many hours will the dog be alone per day?
  During what time frame(s)?
Where will the dog be kept when family is: home?
gone for work, shopping, etc (not vacations)? 
  Will you permit a home check? Yes No
  Is there any aspect of your home a puppy/dog could affect (white carpet, antiques, etc.)? Yes No
Please explain
  Does anyone in your family have allergies to hair/dust Yes No
physical impairments Yes No
  Are you often away for extended periods? Yes No
  When away for extended periods, do you
Please explain
  How many dogs do you own?
 

Dog 1

Name
Breed
Gender
Age
Spayed/Neutered Yes No

Dog 2

Name
Breed
Gender
Age
Spayed/Neutered Yes No

Dog 3

Name
Breed
Gender
Age
Spayed/Neutered Yes No

Dog 4

Name
Breed
Gender
Age
Spayed/Neutered Yes No
 
What Kind?
What kind?
  Do you own any other pet(s) besides dogs? Yes No
What kind?
  Are you planning on getting new pets in the near future? Yes No
How soon and what kind?
  Have you owned any dogs in the past? Yes No
  Have you ever owned a giant breed dog before? Yes No
Which breed(s)?  
  What was the disposition of prior dogs?
Please explain
  Why do you want a Great Dane?
PREFERENCES
  Gender
  Color Doesn't matter
Black Blue Boston (Mantle)
Merle Fawn Brindle Harlequin
  Size
  Ears
  Age
  Temperament level
  Activity level
  Would you accept a Great Dane mix? Yes No Depends on mix
  Some rescues have pre-existing health conditions or problems that may require further care by the adopter (skin problems, cataracts, etc.). Would you adopt a dog that has health problems?  Yes No Maybe
  Are you aware of the yearly costs of maintaining a healthy dog? Yearly vaccines can be $70-$100. Then there is heartworm preventative (daily or monthly), flea/tick control (pet and premises), dental care, food, accessories, as well as many other unforeseen items/circumstances (such as accident or illness). Are you prepared to meet these requirements? Yes No
  How far are you willing to travel to pick up the dog?
  How soon do you want to adopt the dog?
  Are you willing to spay or neuter your pet? Yes No
  Are you willing to take your dog to obedience training? Yes No
  How much adult supervision of the dog and your children will be provided?
  If no children reside with you, how often will your dog come in contact with children?
  If neighbors have children, how old are they?
  How much adult supervision of the dog and neighborhood children will be provided?
  Some dogs are lively and curious in the house. They like to play with you and follow you around. Will a dog like this annoy you?  Yes No
  How would you encourage and reinforce your dog's appropriate or good behavior?
  How would you prevent and manage your dog's inappropriate or bad behavior?
  Who will be the primary caretaker of the dog?
  Are all members of your household aware that you are acquiring a new dog? Yes No
  Do they all approve? Yes No
  Are all willing to be somewhat involved in the care and raising of this dog? Yes No
  Have you ever crated a dog? Yes No
  Are you willing to crate this dog if needed? Yes No
  Do you already have a crate for your new dog? Yes No
What size?
  Are you willing to pay an adoption fee to help defray expenses associated with rescue (normally $225-$250)? Yes No
  Which Dane are you interested in?
  Other comments


REFERENCES
May we check with these references? Yes No
Veterinarian Name
Veterinarian Street Address
  Veterinarian City
  Veterinarian State Zip -
Veterinarian Phone ext.
Trainer Name
  Trainer Phone ext.
  Dog Club Name
  Dog Club Phone ext.
  Other
Other Phone ext.
I ATTEST THAT ALL ANSWERS THAT I HAVE PROVIDED ON THIS APPLICATION ARE CORRECT. I UNDERSTAND THAT CENTRAL FLORIDA GREAT DANE RESCUE, INC. HAS THE RIGHT TO REJECT ANY APPLICANT FOR ANY REASON. I agree with this privacy notice: CFGDR may share your application information with other rescue organizations as part of the approval and screening process. CFGDR will NEVER sell your information or share it with any other outside resources.

Yes No

Type Applicant Name to serve as signature
Type Co-Applicant Name to serve as signature