Surrender Your Dane - Application : About Us : Great Dane Rescue

Complete this form to request that your dog be placed into rescue. Please include three photos of your Dane including a head shot.

Please note that our area includes MI, Toledo (Ohio), IN, IL, and Ontario (Canada). If you are out of our area, please contact a local rescue.

Locate a rescue in your area

GDR Inc's coverage area includes Michigan, Toledo (Ohio), Illinois, Indiana, and Ontario (Canada). Please click the link above if you are not in our coverage area.

Contact information of person submitting request:

Owner Name (Required)

Street Address (Required)

City (Required)

Coverage Area State or Province (Required)

Zip or Postal Code (Required)

Email (Required)

Home Phone (Required)

Work Phone

(Include Area Code)

Description of Great Dane, hereinafter referred to as "dog"

Call Name (Required)

Sex

Male
Female

Age (Required)

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Color (Required)

If the Dane is mixed, identify the other breed

Please provide the breeder information, if available

Breeder Name

Organization

Street Address

City, State & Zip

Work Phone

(Include Area Code)

Website URL

Please provide the vet's information

Name (Required)

Street Address (Required)

City, State & Zip (Required)

Email (Required)

Work Phone (Required)

(Include Area Code)

Date of current shots (Required)

(mm/dd/yy)

Is the dog currently experiencing diarrhea/vomit/gastric upset?

Additional information:

Has the dog been tested for heartworms

Is the dog on HW preventative

Is the dog spyed or neutered (Required)

Is the dog microchipped?

Has the dog been bred

Is the dog housebroken

Has the dog been obedience trained

Is the dog good with children

Is the dog good with other dogs

All dogs
Large dogs only
Small dogs only
Males Only
Females Only
Unknown

Is the dog good with small animals such as cats

Is the dog crate-trained?

List any known habits the dog has (Required)

Does the dog have any preferences to Men/Women

If the dog has ever bitten a person or another animal, please give details below (Required)

Does the dog have any known allergies or medical conditions (Required)

Reason this dog is dog is being surrendered (Required)

Photo Attachment

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