Adoption/ Foster Application

Rocky Mountain Great Dane Rescue, Inc. Adoption and Foster Application

A $20 application fee is required to process application. If you are faxing or e-mailing your completed application to us, this fee can be paid online at rmgreatdane.org.

You will be provided with a link to our online store on the Thank Page at the completion of this form. You may also mail your completed application along with a check to our PO Box:

RMGDRI

PO Box 280368

Lakewood, CO 80228

Your application fee will help provide much needed medical care for our Danes in Rescue.

Thank you for your interest in adopting and/or fostering a Great Dane! We are so glad you are here!

Applying to:*

AdoptFosterBoth

Date (mm/dd/yyyy):*

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Drivers License#

Last Four of Social Sec#

E-mail*

Cell Number*

Area CodePhone Number

Home Number*

Area CodePhone Number

Work Number

Area CodePhone Number

Best time to contact:*

MorningAfternoonEvening

How did you hear about us:

InternetNewspaperPublic Appearance

Why do you want to own a Great Dane?*

Have you ever owned a Great Dane?*

YesNo

If not, What experiences do you have with giant breeds?

What would be you preference in a Great dane:

Preferences

No PreferenceSome perferences as noted below

Color?

Age:

Sex:

FemaleMale

Do you consider yourself/family to be active in such a way that it would include your Dane?

YesNo

Please describe:

Members of the household*

	Name:	Age:	Relationship to Applicant:
Member 1
Member 2
Member 3
Member 4
Member 5

Do all members of the household want to adopt/ foster a Great Dane?*

YesNo

Does anyone have any hesitations or concerns about adopting/fostering a Great Dane?

YesNo

If yes, please explain:

Will any other children have contact with a Dane?*

YesNo

Ages of other children that will have contact with a Dane?*

Any asthma or allergies in household to dogs or cats?

YesNo

What pets do you currently have? (Please be specific and include breed of dog)*

	Name	Type/Breed	Gender	Spay/Neuter	Age
Pet 1
Pet 2
Pet 3
Pet 4

If you currently have pets are they ALL spayed or neutered?*

YesNoI currently do not have any petsNot all of my pets are spayed or neutered

Have you ever surrendered an animal?*

YesNo

If yes, please explain:

If you currently have a dog, does it get along with other dogs?

YesNo

If no, please explain:

Please list all pets you have had in the past 10 years.*

	Type/Breed:	Gender:	Describe what happened to this pet:
Pet 1
Pet 2
Pet 3
Pet 4

Have you ever euthanized an animal?*

YesNo

If yes, please explain:

Ever breed a litter?

YesNo

Ever attend obedience training with a dog?*

YesNo

Are you willing to attend obedience classes?*

YesNo

What type of food do you or would you feed:*

How often do you feed?

How much?

Do you currently own cats?*

YesNo

If yes, How many?

Do they live:

IndoorOutdoors

Are they used to dogs?

YesNo

Veterinarian Information:

Vet:*

DVM Name:*

Phone Number*

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Personal References. (Please do not list family members)

Name of reference (1)*

First NameLast Name

email address*

Primary Number*

Area CodePhone Number

Cell Number

Area CodePhone Number

Work Number

Area CodePhone Number

Name of reference (2):*

First NameLast Name

email address*

Primary Number*

Area CodePhone Number

Cell Number if not primary number

Area CodePhone Number

Work Number

Area CodePhone Number

Applicant’s Home Environment:

Yard Size*

SmallMediumLarge

Fence Height*

Is the yard completely enclosed by fence?*

YesNo

Is the yard enclosure attached to the house?*

YesNo

What type of shade is available in your yard/enclosure?*

How many hours per day will the dog be outside?*

1-34-67-10More than 10

How many hours per day will the dog be left alone?*

1-34-67-10More than 10

Is there anyone home during the day?*

YesNo

Where will the dog stay during the day when alone?*

Do you own / have you used a dog crate?*

YesNo

Are you willing to purchase and use a dog crate?*

YesNo

What do you do with your pets when you go on vacation?*

Are you aware that kenneling is more expensive for a Great Dane?

YesNo

Please describe neighbors that the Dane will be involved with.

Do they like Dogs?

YesNo

Do they have dogs or cats?

YesNo

If yes, please list types:

Do they have children?

YesNo

Ages of Children:

Any problems with neighbors currently?

YesNo

If yes, please explain:

Have you ever been contacted by or had problems with Animal Control? *

YesNo

If yes, please explain:

Do you own or rent your residence?*

OwnRent

If you rent, include a letter of permission from your landlord to have a Great Dane.

Upload your letter of permission here

Upload a File

Landlord’s Name:

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do all parties (if more than 1 adult in the house) want a Great Dane?*

YesNo

Have you researched Great Danes?*

YesNo

May an agent of the Rocky Mountain Great Dane Rescue, Inc. visit your home?*

YesNo

Are you or your spouse/partner active or inactive members of the military?*

YesNo

If yes, describe status, branch, and rank

Have you or your spouse/partner been deployed at any place other than the state of Colorado in the last three years?

YesNo

If yes, state the date of your last deployment.

Do you or your spouse/partner anticipate deployment or relocation outside of Colorado in the next ten years?

YesNo

Do you or your spouse/partner agree to notify RMGDRI in the event deployment or relocation is required in the next ten years?

YesNo

If the need to move arises, what will you do with your Great Dane?*

What would, in your opinion, constitute a reason for not keeping the dog? *

Adopted pets need an adjustment time.

Are you willing to give the new dog at least one (1) month trial to ensure proper adjustment? *

YesNo

Would you consider a second Great Dane at a future date?

YesNo

Are there any questions about the Great Dane breed we can answer?

In our attempt to find the perfect homes for each of our dogs, we sometimes need to keep the dogs in foster care for extended periods. If you are applying to foster with RMGDRI, please answer the following questions:

Have you ever fostered a dog before?

YesNo

If yes, please explain:

Are you comfortable keeping a dog until we find a suitable home?

YesNo

Would you prefer to be:

Short term FosterLong term FosterNo preference

What is the limit to how long you are willing to keep a foster dog?

How much notice would you need to be able to foster a dog?

Do you have any restrictions (e.g., gender or age of the foster dog)?

YesNo

If yes, please explain:

By signing this application, I (we), ________________________acknowledge that my (our) family is willing to take a Great Dane into our home. I (we) understand that the exact nature of the dog may not be entirely known. While every attempt is made to learn as much as possible about every dog received by RMGDRI, it is possible that damage to our residence, other pets, and/or individuals may occur.

Initial:*

By signing this application, I (we), ________________________ acknowledge that Rocky Mountain Great Dane Rescue, Inc., (the "Rescue") shall not be responsible for any bodily injuries, property damage or damage to other animals caused by any foster Great Dane/Dane mix. The foster/adoptive (circle all that apply) person(s) hereby specifically assumes sole responsibility for, and agrees to indemnify and hold the Rescue harmless from any and all loss and expenses (including legal fees) by reason of liability imposed by law upon the Rescue or any of its officers, directors, members, employees, representatives, agents, or assigns, because of bodily injuries or death to any person or persons or any damage to property or animals arising out of or in consequence of the placement of the foster or adopted Great Dane/Dane mix howsoever such injuries, death or damage to property or animals may be caused, whether or not the same may have been caused, or may be alleged to have been caused, by negligence of the aforementioned parties or any of their directors, members, employees, representatives, agents, or assigns or any other person.

Initial:*

If a Great Dane is placed with me (us), I (we) agree to cooperate with Rocky Mountain Great Dane Rescue, Inc. (RMGDRI) in its attempt to provide a smooth transition for the Great Dane or Dane mix. I (we) also agree to contact RMGDRI 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 Rocky Mountain Great Dane Rescue, Inc. first to determine whether the dog might be a candidate for placement elsewhere.

Initial:*

I (we) certify that the information that I have 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.

Sign:*

Date*

MonthDayYear

I certify as of today's date that I am over 21 years of age

YesNo

I certify by selecting "yes" that I agree and will abide to the terms and conditions set forth in this agreement

YesNo

Would you like to learn more about opportunities to volunteer with RMGDRI?*

YesNo