Adoption Application

ADOPTION APPLICATION

Thank you so much for your interest in adopting a dog from SRGDRR! Your application does not guarantee or reserve a dog. Team Rocky Enterprises, Inc reserves the right to deny any applicant for any reason. *Please note that we do not adopt dogs to Massachusetts due to strict guidelines from their state agricultural department.* We hope this changes in the future. Our mission is to rehome our dogs to loving, caring, and responsible people. Therefore, all information will be verified. Incomplete applications will NOT be processed.
Name of the dog you are interested in adopting:
If no preference, please leave this box blank
Your Name*

First NameLast Name
Spouse's Name

First NameLast Name
Email*
example@example.com
Physical Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (leave blank if the same as physical address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*
Please enter a valid phone number.
Alternate Phone Number
Emergency Contact.. Someone who does NOT live with you!
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*
Alternate Phone Number
Email*
example@example.com
Adoption Preferences

We all have preferences, let us know what kind of pup will fit in your home!
Do you prefer a male or female dog to adopt?*

MaleFemaleNo preference
What age are you looking to adopt?*

PuppyTeenager!Adult dogSeniorOther
Do you prefer a certain color Dane? If no, please elaborate
Are you looking to adopt a dog with cropped ears? (*Please note that we do not crop ears within the rescue, but we do have Danes available who have cropped ears)

YesNoNo preference
Many of our dogs coming into rescue have behavior problems. Which problems are you COMFORTABLE with working through with your new dog?

ChewingBeggingDiggingBarkingFence JumpingRecall IssuesPulling on the leashSeparation AnxietyJumpingAccidents in the homeDestroying propertyScratching at doorsGrowlingBitingNONE, I cannot tolerate any behavior issuesOther
What special circumstances are you comfortable adopting?

Bonded pairBite casesDeafBlindFeral (very little or no human interaction)Chronic medical problemsOther
Great Danes (and honorary Danes) have personality! What kind are you hoping to adopt? (Pick all that apply)

Blank slate that you can trainFully trained (rare!)Couch potatoReady for adventure!AthleticOne-Person dogFamily dogPossible therapy/ESA dogConfident and assertivePassiveSillyIndependentClingy and NeedySocial ButterflyHardworking, needs a jobOther
Experience with Danes & Other Animals

Don't worry if you don't have any Dane experience.. we are here to help!
Have you ever owned a Great Dane before?*

YesNoOther
Tell us about your experience with Great Danes and with dogs in general:*
Please include any past pets, training experience, past volunteer experience, anything that will help you to be a successful Dane adopter!
Do you have experience with handling behavior problems with dogs? If so, please describe.
Knowing this will help us make the perfect match!
How many pets do you currently own?*
Number.. don't worry, lots of us have several animals at home!
Tell us about those pets! Please include their name (for vetting verification purposes), type, breed, age, gender, and if they are spayed/neutered.
Be detailed! This helps us ensure that we place the right dog with you.
Do you own livestock or other farm animals or exotics? If so, please describe.
Not all Danes are suitable for a home with these types of animals, so lets be sure we make the right match!
Do your CURRENT dogs get along with other dogs? Please give details.
Not all dogs welcome new dogs in the home, let us know about yours!
Have you ever had to surrender an animal? This includes rehoming, releasing to a shelter or rescue, etc. If so, please explain.*
This may not disqualify you from adopting, but we do need to know what happened and why.
Have you ever had an animal euthanized? If so, please explain.*
For health reasons, behavioral reasons, etc.
Have you ever bred a litter of puppies?*

YesNoOther
Have you ever attended an obedience class?*

YesNoOther
What kind of food do you feed your dogs? If you currently do not own pets, what food did you feed in the past, or what are you interested in feeding your new dog?
If unsure, we are happy to point you in the right direction!
Tell Us About Your Home!
Tell us about your household! Include everyone living in the home and their age. Please include any allergies or other information that could impact adopting.*
Do you own or rent? If you rent, please be prepared to supply SRGDRR with a copy of your lease or other authorization stating that you can have a Great Dane inside of your home.*
Tell us about your yard (fence (type and height), what kind of gate, pool, shade, shelter, etc)*
Fences are not required in order to be approved to adopt.
May a representative of SRGDRR visit your home to do a home check?*

YesNoOther
How many hours per day will your adopted dog be left outside?*
How many hours per day will your adopted dog be left alone?*
Are you willing to give your newly adopted dog a minimum of 30 days to adjust to his/her new environment?*

YesNoOther
What are your plans for your adopted dog when/if you go on vacation?*
I acknowledge that boarding is more expensive for a Giant Breed.*

I acknowledge
Veterinary Care
Please list the veterinary clinic who sees your pets, or who saw your previous pets*
Clinic City, State
Clinic Phone Number
Any other clinics who would have records for your pets? Please provide their name, city, state, and phone number below:
Personal References

Please provide 3 personal references who DO NOT live with you and who are NOT family members. Let them know to expect our call!
Reference 1*

First NameLast Name
City, State*
Phone Number*
Email
example@example.com
Reference 2*

First NameLast Name
City, State*
Phone Number*
Email
example@example.com
Reference 3*

First NameLast Name
City, State*
Phone Number*
Email
example@example.com
Wrapping it Up!

Just a few more questions!
Have you ever adopted from an animal rescue group or shelter before? If so, please let us know which organization you adopted from and your experience!
Have you ever fostered before? If so, please let us know which organization you volunteered for, how long, etc
Would you be interested in fostering for SRGDRR in the future?

YesNoOther
Any other information we should know before processing your application?
The Small Print..
If a Great Dane is placed with me/us, I/we agree to cooperate with SRGDRR INC in its attempt to provide a smooth transition for dogs and humans alike. I/we also agree to contact SRGDRR INC about problems that might arise in the future. Should the dog need to be removed, or euthanized (prior to normal old age), I/we will contact SRGDRR INC prior to taking any action to determine whether the dog might be a candidate for placement elsewhere. I/we certify that the information provided is true, correct, and complete to the best of my information and belief and that I have not willfully concealed any information in answering the above questions.

SRGDRR makes no warranty as to temperament or physical condition of the rescue dog. The rescue dog is being adopted as is. All rescue dogs are advertised by information supplied from previous owners, shelters, and other forms. SRGDRR does not guarantee any DNA genetic makeup of any rescue dog and cannot be held liable for rescue dog not being pure or a certain mix. There is no refund. DNA testing can be offered at the prepayment fee provided by adopter. It is not included in the adopt fee donation.

SIGNATURES BELOW INDICATE THAT YOU HAVE READ ALL OF THE ABOVE AND SIGNATURES INDICATE THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF YOUR KNOWLEDGE.
Name of Applicant*

First NameLast Name
Signature*

Clear
Name of Spouse or Other Adult in the Home

First NameLast Name
Signature

Clear
Date*

MonthDayYear
Date
Should be Empty:

Adoption Preferences

Experience with Danes & Other Animals

Tell Us About Your Home!

Veterinary Care

Personal References

Wrapping it Up!

The Small Print..