Registration

Full Name

Address (Street, City, State,Zip)

Phone Number

Email Address

Preferred sex

Preferred Markings

Adults in the household

Children in the household

Age of youngest child

Number of pets in the household

Does anyone in the household have pet allergies?

No
Yes
Don't Know

If other pets, what types, age and temperment? Are they spayed or neutered?

What is it about the Great Dane that makes you feel this is the right breed for your family?

Your new Dane will live primarily

Do you have a fenced yard?

No
Yes, Partially
Yes, Fully

If so, how high is your fence?

Describe the fencing material, age and condition

Do you own or rent your home?

Rent
Own

Who will be the primary care giver?

Have you previosly owned a Dane?

No
Yes
Yes, currently

If so, what happened to it?

Have you owned any other breed?

If so, what breed and what happened to it?

When are you looking to purchase a puppy?

Interested in:

Companion Only
Agility
Conformation Showing
Obedience
Tracking
Breeding
Other

Would you consider an older puppy or adult dog

How many hours per day may this dog be left alone?

Where will the dog be when no one is home?

Where will the dog sleep at night? (ie. on the bed, loose, crated, confined to kitchen, basement, garage, yard, kennel or other)

Are you willing to follow the Health Guidelines and advice supplied by Davishire Danes regarding shots, exercise, training and feeding?

No
Yes
Maybe

If No or Maybe, please explain:

Are you willing to stay in regular contact with Davishire Danes for the life of the dog and provide updates?

No
Yes

Would you consider a rescue Dane?

No
Yes
Maybe

Please provide two references (one preferably your vet and #'s):

Anything else you would like to tell or ask us that may be pertinent to getting a great dane puppy? Any upcoming changes to any of the above in the near or forseeable future?

Enter text from image:

Thank you for your interest in a Davishire Dane!

Quick Links