Name(s)
Street
City
State
Zip Code
Email address
Phone (include area code)
Number of adults in your household
Number of children in your household
Please list the ages of any children
When are you planning to add a Great Dane to your family?
What age Great Dane would you prefer?
Puppy Adult Prefer a puppy but would consider an adult No Preference
Preffered sex
Male Female No preference
Preferred markings/color
Harlequin Mantle Merle No Preference
Prefer ears...
Natural Cropped No preference
What are your plans for your Great Dane (please check
all that apply below)?
Pet/Companion
Show/Confirmation
Obedience/Agility/Rally
Therapy
Breeding
Protection/Guard
Other
If other, please explain
Do you currently own any Great Danes?
Yes No
If yes, please list name(s), breeder(s),
age(s), and whether spayed or neutered
Have you owned a Great Dane in the past?
Yes No
If yes, please tell us about this dog/dogs
(age, breeder, disposition, cause of death...)
Does anyone in your household have pet
allergies?
Number of other pets in your household
now?
If other pets, what ages, types and temperament
are they? Are they spayed or neutered?
What has become of other pets you have
owned? Have you ever had to euthanize (put to sleep) an animal? If yes, why?
What type of residence do you live in
(Own home, rent home, apartment, condo etc.) ?
Do you have a fenced yard?
Yes No
If yes, how high is your fence?
What books have you read on dog care and
trainng?
Where will your dog mainly live (please select all
that apply below)?
Indoors
Outdoors
Both
Approximately how many hours will this
dog be left alone each day?
What are your plans for your dog when
left alone?
Please tell us why you want to add a Great
Dane to your family?
Is everyone in your household in agreement regarding
adding a Great Dane to the family?
Yes No
Are you willing to discuss and/or follow the Health
Guidelines and advice supplied by BigNutt Danes regarding shots/vaccinations, exercise, feeding, and training?
Yes No Maybe
If No or Maybe, please explain
Are you willing to stay in regular contact with BigNutt
Danes for the life of the dog and provide at least annual updates?
Yes No
Please provide at least 2 references (at
least 1 should be from your veterinarian or a previous breeder that you obtained a dog from). Be sure to include a phone number/email
address for each reference
Is there anything else about you and your
family that you would like us to know? Do you anticipate any changes to the above in the near near future?
Do you have specific questions for us?
If so, please feel free to ask here or in a seperate email. We are also glad to talk Danes, even if you are not interested
in adding a Dane to your life right now.