Great Dane Rescue : Adopt A Dane : Adoption Application

Please note that we can only accept applications from Alabama, Indiana, Illinois, Michigan, Ontario and portions of neighboring states. For all other areas of the U.S., click here.

NOTE: We DO NOT adopt Great Danes to homes with children under the age of eight years. You may contact Great Dane Rescue, Inc. for referrals to responsible breeders in your area.

Please make sure your application is complete. Incomplete information will delay the processing of your application.

Please note that we cannot process your application until we receive your adoption application fee of $25. Information on the options for making your adoption application donation will be displayed once your completed application has been submitted.

Areas in red must be completed before you can submit this application.

Qualifying Information

GDR Inc. only adopts to families living in Michigan, Ontario, parts of Wisconsin, Indiana, Illinois, northwestern parts of Ohio, parts of Kentucky (Louisville and western Ky - Not Lexington), Alabama, and parts of Georgia. Select your location within our coverage area:

GDR Inc does not adopt to families with children under 8 years old. Do you have children under 8 years old?:

Personal Information

First & Last Name:

E-mail Address:

Address:

City, State, ZIP:

Phone Number:

Name of spouse, significant other, or other adults in household:

Employer Name:

Employer Phone Number:

Occupation:

How did you hear about us?:

	Internet
	Friend
	Event Booth
	Other

Do you have an application pending at another rescue?:

	Yes
	No

References

Reference #1 Name:

Reference #1 Email address:

Reference #1 Relationship:

Reference #1 Phone Number:

Best time to contact:

	Daytime
	Evening

Reference #2 Name:

Reference #2 Email address:

Reference #2 Relationship:

Reference #2 Phone Number:

Best time to contact:

	Daytime
	Evening

Veterinarian Information

Vet Name/Clinic:

Phone Number:

***Please contact your vet to let them know we will be calling. They may require your permission before speaking with us. ***

Environment

Property:

	House
	Apartment/Condo

Ownership:

	Own
	Rent

If rented, does your lease allow pets:

	Yes
	No

If rented, how many years at present address:

If your lease allow pets, please supply a copy of your lease/rental agreement.

Landlord/Rental Agent Name:

Landlord/ Rental Agent Phone Number:

Do you have a fenced yard:

	Yes
	No

If yes, height of fence:

If yes, style of fence:

How will you handle exercise and toilet duties:

Family

Do you have children living at home:

	Yes
	No

If yes, please list names, sex, age:

* NOTE: We DO NOT adopt Great Danes to homes with children under the age of eight years.

Do you have children that visit regularly:

	Yes
	No

If yes, please list names, sex, age:

Do you own any other pets in this household?

If yes please fill out below:

Are there other pets in the household:

	Dogs
	Cats

Name of Pet #1:

Species/Breed:

Sex:

	Male
	Female

Spayed/Neutered:

	Yes
	No

Age:

Owned how long:

Pet #2 Name:

Pet #2 Breed/species:

Pet #2 Sex:

	Male
	Female

Pet #2 Spayed/Neutered:

	Yes
	No

Owned how long?:

List additional pets including breed/species, age, sex , neuter/spay status and length of ownership below: :

Please list the personalities of your pets.:

Reason for not spaying/neutering any of your pets:

Do you have experience with Great Danes:

Why do you want a Great Dane:

All adopted Great Danes will be required to complete an obedience class within 6 months of adoption. Optionally, you may undergo two private sessions with a certified/licensed trainer or pass a Canine Good Citizen / Canine Good Neighbor test.

Are you agreeable to this requirement:

	Yes
	No

What activities do you plan to participate in with your Dane?

Obedience/Agility:

Hiking:

Playgroup or Daycare:

Walks:

Outdoor Sporting Events:

Snuggle on the Sofa:

Other:

Is there someone home during the day:

	Yes
	No

How long will the Dane be left alone during day:

Where will the dog be kept when no one is home:

Where will the dog spend most of its time:

Where will the dog sleep:

Is there someone home at night:

	Yes
	No

When are you available for a home check:

List the common health problems and special needs of Great Danes:

How many dollars would you estimate a Great Dane to cost every year:

Dane Specifications

Please keep in mind that we have no control over the ages/colors/specifics of our rescue Danes. The more specific you are, the harder it may be to place a dog with you. Please remember that older dogs need a good home too and can provide years of unconditional love.

Please help us choose the Dane's Age and Gender and Appearance that is the best match for our household members and lifestyle!

Dane Mix:

	I would consider a Dane mix
	I would not consider a Dane mix

As a general rule, the Great Danes that we have available for adoption are from Harlequin breeding--these include Black (with or without white markings), Merles (with or without white markings), Harlequins, and Whites. Somewhat over half of the Danes we receive have natural ears, and of those Danes whose ears have been cropped, many do not stand. The waiting period for, for example, an adolescent Fawn female, with ears cropped and standing, could range anywhere from two weeks to as long as 12 months or more.

Age:

	A Dane of any age group that will match up with our lifestyle and planned activities with the Dane
	Senior
	Adult
	Young Adult
	Adolescent
	Puppy

Senior -- Age 6 and older. As a general rule, the seniors we have available for adoption have been well-cared-for, are housetrained and have good house manners. All our seniors have a thorough physical examination, and we will be happy to discuss any health issues (such as a need for medication or supplements) or management (for example, a Dane that needs assistance to get into an SUV.) We do have a reduced adoption donation for our very special Senior Danes

Adult -- Age 3 through 5. Generally more settled dogs, with many life skills in place. Level of obedience training varies from Dane to Dane, as do any behavioral quirks.

Young Adult -- 18 months to 36 months. Almost all Danes in this age group absolutely require group obedience lessons. This helps to establish a healthy bond between owner and dog, teaches the dog acceptable behaviors, and allows the dog to develop better dog-to-dog social skills.

Adolescent -- From 6 months to 18 months old. Although somewhat of a handful, these delightful young Danes are at a prime age to begin training for a "job" such as therapy work, competitive obedience, agility, or assistance work.

Puppy -- Danes less than six months old. Please note that we rarely get young puppies into Rescue, and will be happy to also offer referrals to a Great Dane Club in your area to assist you in finding a responsible, ethical breeder.

Gender:

	Either
	Male
	Female

Color:

	Any Color
	Black/Black & White/Mantle
	Harlequin/White
	Merle/Boston Merle/Merlequin
	Blue
	Fawn
	Brindle
	White

Ears:

	Any Style
	Natural
	Cropped
	Cropped and standing

Special Needs:

	Deaf
	Blind
	Other special needs

Are there additional conditions or special circumstances that would help us to match up the best possible Dane for your family? Tell us what type of dane you are looking for.:

MEDICAL RELEASE

By submitting this form, I hereby authorize the Doctor of Veterinary Medicine, named above, to disclose and/or release to Great Dane Rescue, Inc., it's agents, successors or assigns, either verbally or in writing, complete information concerning his or her medical findings, treatments and records about any animals for which I have sought care and/or treatment from the so named Doctor of Veterinary Medicine. (***Please contact your vet to let them know we will be calling. They may require your permission before speaking with us. ***)

MEDICAL RELEASE:

By checking here, I certify that the above information is true and correct.

Name:

Date:

LIABILITY RELEASE AND WAIVER FORM

PLEASE NOTE: Your application cannot be processed without acceptance of this waiver.

I/we

have voluntarily contacted Great Dane Rescue, Inc. and have expressed an interest in adopting a dog in the care and custody of Great Dane Rescue, Inc. In consideration of GDR, Inc.'s agreement to allow me to view and/or interact with such dogs, I hereby, for myself, my heirs and my personal representatives, represent and warrant as follows:

1. I am fully aware of the risks that dogs pose and have elected to view and/or interact with one or more dogs in the care of GDR, Inc. voluntarily. I knowingly assume all risks that exposure to dogs may pose, including but not limited to, serious bodily injury and/or death.

2. I hereby waive, release, discharge, hold harmless, and promise to indemnify and not to bring suit against Great Dane Rescue, Inc., its directors, officers, volunteers, staff, and all other agents, and attorneys for any of the referenced parties, and any other parties acting for, or on behalf of any of the referenced parties, from any and all rights and claims which I have or which may hereafter accrue to me and from any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my exposure to such dogs.

LIABILITY RELEASE AND WAIVER FORM:

	Yes, I accept this waiver and release Great Dane Rescue, Inc. from all liability.
	No, I am not interested in pursuing this application further.

Colored fields indicate required information.