Potential Owners Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
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Country
Phone Number (home)
*
-
Area Code
Phone Number
Phone Number (work/cell)
*
-
Area Code
Phone Number
E-mail
Occupation
Name, address and phone number of your veterinarian
How did you hear about us?
Why have you decided to purchase a Great Dane?
*
Have you ever owned a Great Dane before?
*
Yes
No
Would you like a Male or Female?
*
Male
Female
Either
Do you have any other animals?
*
Yes
No
Will the puppy be an inside dog?
*
Yes
No
Who will be the primary care giver?
*
Where will the puppy be kept during the night?
*
Where will the puppy be kept during the day?
*
Is anyone home during the day?
*
Yes
No
How many hours on average will the puppy be left alone?
*
Please Select
Less than 1
1-3
3-6
6-8
8-10
10-12
Greater than 12
Will there be someone available to feed and exercise the puppy during the day?
*
Yes
No
Do you have any children? If yes, what are their ages?
*
Does anyone in your household have allergies to animals? If yes, to what and how severe?
*
If the litter of your choice does not produce a puppy of the desired gender, then would you still be interested in a puppy of the opposite gender if available?
*
Yes
No
What type of personality are you looking for in your puppy?
*
What do you expect the activity level of this breed to be once maturity is reached?
*
When was the last time you had a puppy in your home?
Do you intend to have your puppy's ears cropped?
*
Yes
No
If so, do you already have a qualified vet in your area to do the procedure?
*
Yes
No
Not Applicable
Will you want your puppy shipped or will you pick up your puppy?
*
Shipped
Pick Up
How many hours a day will the puppy be outside?
*
Please Select
Less than 1
1-3
3-6
6-8
8-10
10-12
Greater than 12
How will the puppy be confined when he is outside?
*
Do you have a fenced yard or suitable pen?
*
Yes
No
Where will your puppy stay while inside, if you are not available to watch him/her?
*
Have you ever house trained a dog before?
*
Yes
No
How do you intend to housebreak your puppy?
*
How long have you lived at this address?
*
Will you be attending any training classes?
*
Yes
No
If yes, at what age will you start?
*
Please Select
1
2
3
4
5
6
7
Not Applicable
Have you ever had a behavior problem in one of your pets?
*
Yes
No
What was it?
How did you handle it?
Do you understand the difference between a limited registration and a full registration?
*
Yes
No
Are you interested in showing the dog in the conformation ring?
*
Yes
No
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