Address I City I Postal Code * Contact Phone Number * E-mail * When is the best time to contact you? * How did you hear about Dames Saving Danes? * Are you the owner of the Great Dane? * Why have you decided to surrender your Great Dane? * What if anything have you tried to remedy the reason for which you feel you must surrender your Dane for?
(vet, exercise, trainer, spay/neuter)
Are you currently in contract with a Breeder or Rescue to return your Great Dane to them if you can no longer keep him/her? * Name of Great Dane: * Colour of Great Dane: * If female and NOT spayed what was the year & month of her last heat? Where did you get the Great Dane? * How long have you had the Great Dane? * How old is the Great Dane? * Approx. Weight and Height of the Great Dane: Has the Dane's stomach been tacked? * To your knowledge, has the Dane ever experienced Gastric Torsion and/or Bloat? * Do you have proof of current vaccinations (within one year of today)? * Has the Dane ever been Heartworm tested? * Microchip and/or Tattoo number: What brand of food do you feed your Great Dane? * How many times a day does he/she eat and how many cups per serving? * Has the Great Dane ever had a negative reaction to: *
(check all that apply)
Has the Great Dane even bitten: *
(check all that apply)
Does your Great Dane display: * Does the Great Dane have basic obedience (sit, stay): * Loose-Leash Walking Skills: * What is the Great Dan's general temperament? * What is the Great Danes general health status/condition? * Any Major Health issues or illnesses? If yes please explain: * Current Veterinarian (Name, Practice, Address, & Phone Number): How often during the week (# of days) and for how long (hrs) has the Great Dane been left home alone? * Where is the Great Dane kept when no one is home? * Is the Dane successfully crate trained? The Great Dane LIKES the following: * The Great Dane DISLIKES the following: * Has it been boarded at a kennel or elsewhere? If yes, how often and for how long? * If not already spayed/neutered, can you keep the Great Dane at your home until it is altered by the rescue? If we can place your Great Dane, are you willing to make a donation to cover expenses? Do you certify that the answers you have given are true? * Please provide us with any further information that will help us match your Great Dane with the most suitable adopter: