DO YOU LIVE WITHIN 90 MILES OF VIRGINIA BEACH, VIRGINIA?
Today's Date
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Name
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First Name
Last Name
Spouse's Name
Email Address
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Street Address
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City, State and Zip Code
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Home Phone#
Mobile Phone#
Are you 21+ years old?
Would you be willing to adopt a Great Dane with special needs?
Check all that apply
Why do you want to adopt a Great Dane?
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Is there a specific Great Dane you are interested in?
Have you applied with any other rescues at this time? Which rescue?
Do you have other pets?
If you have pets, describe below, including type, breed, age, and if spayed/neutered.
Are your pets on heartworm preventative?
If yes, what kind?
If not, why not?
If any of your pets are NOT spayed/neutered, why not?
What happened to any previous pets you have owned (died, ran away, gave away, etc.) ?
Have you ever surrenered a pet to a rescue or shelter?
If yes, why?
Are you aware of the cost of owning a Great Dane?
How much do you think it costs to feed a Great Dane for 1 month?
How much do you think it costs for routine veterinary care each year for a Great Dane (to include vaccinations, checkups, HW prevention, etc.)
Do you have a lifestyle that would allow you to properly care for a Great Dane?
Have you ever obedience trained a dog (through classes) ?
Would you take your new dog to obedience classes?
How many hours a day will the Great Dane be left alone?
Please list the names and relationship of anyone else living in your home. If children, please indicate age.
Has anyone residing in your home ever been convicted or charged with cruelty to animals or child abuse?
Are you going to be moving in the near future?
What will you do with the Dane if you should have to move?
What is your occupation?
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Company Name and Phone number:
How long have you worked for this employer?
What are your work hours?
Is anyone in your family home during the day?
Yes
No
Please check which best describes your home.
Do you rent or own your home?
Rent
Own
If renting, does your rental agreement allow you to keep pets?
Yes
No
If renting, what is your landlord's name and phone number?
If you rent, you will need to email us a copy of your rental lease or a letter from your landlord specifying that a Great Dane is allowed. Email to gdrocva@gmail.com
How long have you lived in your home?
Do you have a fenced yard?
Yes
No
What kind of fencing (privacy wood, chain link, etc) and how tall?
**NOTE: GDROC requires a fenced yard, preferably 5 or 6 foot privacy fence. If you have something different, please explain here what type of fencing you have and how you plan to safely exercise a Great Dane and keep it safe within the confines of your yard.
If you have a pool, it is fenced?
Where will you keep your Dane during the day?
Where will you keep your Dane at night?
Where will you keep your Dane if your family is away overnight or on vacation?
Are you aware of the leash laws in your city?
Yes
No
What kind of vehicle do you drive? Check all that apply.
Is your vehicle large enough for a Dane to ride comfortably in the cab?
Yes
No
REFERENCES: Please provide the name and phone number of 2 individuals (other than relatives) who knows/has known your animals.
May we visit your home and contact your references to verify the above information you have provided?
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Yes
No
How did you hear about Great Dane Rescue of the Commonwealth?
Have you ever adopted from another animal rescue?
Which rescue and when (month/year)?
Have you ever fostered for another animal rescue?
If so, which rescue and when?
