Surrender Information

PLEASE BE PATIENT IF YOU EXPERIENCE DELAYS WITH YOUR SURRENDER FORMS, ADOPTION APPLICATIONS, OR GENERAL EMAIL REQUESTS. THANKS!

NOTE: Please fill out a separate surrender application PER DOG that you wish to surrender.

Please tell us about the dog that you would like to surrender to Central Florida Great Dane Rescue. As soon as we receive your information, a representative from CFGDR will contact you.

NOTE: We take as many Danes into rescue as we possibly can. When we are close to capacity we try to prioritize based on whether it is an emergency situation.

CONTACT INFORMATION
  Email Address
  Name
  Street
  City
  State
  Home Phone
  Alternate Phone ext.
DOG INFORMATION
  Name
  Age
  Color
  What gender is the dog? Male
Female
  Is the dog: Neutered
Spayed
Intact
  Cropped Ears? Yes
No
  How long have you had the dog?
  Is the dog a purebred great dane? Yes
No    If not, what breed(s) is the dog mixed with?
  Why do you need to find a new home for the dog?
  When do you need to find a home for the dog?
  Where does the dog stay when you are home?
  Where does the dog stay when you are gone?
  Where does the dog stay at night?
  Is the dog housebroken? Yes
No
  Is the dog crate trained? Yes  If so, was the dog only crate trained as a puppy?  Yes No
No
  Is the dog still crated at certain times? Yes  If so, when?
No
  Will you be able to donate the crate to rescue? Yes
No
  Is the dog good with: Big dogs:  Yes  No Don't Know
Small dogs:  Yes  No Don't Know
Other animals:  Yes  No Don't Know    Please explain:
Cats:  Yes  No Don't Know
Children:  Yes  No Don't Know    If so, what ages has the dog been around?
  Does the dog live with children? Yes    If so, what ages?
No
  Is the dog obedience trained? Yes
No
  Does the dog ride well in the car? Yes
No
  Does the dog walk nicely on a leash? Yes
No
  Is the dog destructive? Yes   If so, please describe:
No
  Describe any behavioral problems:
  How does the dog act when meeting new people?
  Is or has the dog lived as an only dog? Yes
No  What age, size, and sex have the other dog(s) been?
  Name of the dog's vet:
  Phone number of the dog's vet:
  If more than one vet, other vet's contact information:
  May we contact your vet(s) for information pertaining to this dog? Yes
No
  Is the dog current on shots? Yes
No
  Date of last shots
  Is the dog on heartworm preventive? Yes  If so, what kind and when was it last given?
No  If not, how long has the dog been off preventive?
  Explain any medical problems the dog has:
  What brand of dog food are you feeding?
  How tall is the dog at the shoulder with all four feet on the floor?
  How much does the dog weigh?
  Can you email pictures of the dog? Yes
No
  Can one of our rescue volunteers come to meet the dog? Yes
No
  How far are you willing to help transport the dog to the rescue?
  Do you know the breeder of the dog? Yes
No
  Who is the breeder?
  Are you under contract with the breeder to return the dog if you cannot keep it? Yes
No
  Do you have papers for the dog? Yes  If, so what kind (AKC, UKC, etc.)
No
  Has the dog ever bitten or attempted to bite another person? Yes   If so, please explain: 
No
  Has the dog ever bitten or attempted to bite another animal? Yes   If so, please explain: 
No
  Can you give a donation to rescue to help cover the cost of caring for the dane while in rescue? (example: crate, blankets, heartwom and flea/tick prevention, monetary donation, etc.) Yes
No
  Additional information