APPLICATION
I am submitting an application for:
Dog of Interest:
Name:
E-mail:
Phone:
Address:
City:
State:
Zip Code:
Are there any children living in the household:
Number of Children:
Ages of the children:
How did you hear about SWGDR?
Referred by:
Please tell us your occupation:
Employer's Name:
Employer's Phone:
Co-Applicant's Name:
Co-Applicant's Age:
Co-Applicant's Phone Number:
Co-Applicant's Employer:
Co-App Employer's Phone:
Have you ever owned a Great Dane:
Do you currently have any pets:
How many male dogs do you own:
How many female dogs do you own:
Please list the age & breed of the other dogs in the household:
Are all of your pets spayed/neutered:
If no, please explain:
How many hours a day do you expect the dog to be alone:
Where will you keep the dog when you are home:
Where will you keep the dog when you are gone for work:
When away on vacation we plan to:
Does anyone in your home have any physical impairments?  Please explain:
What is your color preference:
Gender preference:
Age preference:
Temperament Level:
Activity Level:
Would you accept a Great Dane mix:
Would you accept a Great Dane with health problems:
Are you aware of the yearly costs of maintaining a healthy dog?
Yearly vaccines can be $70-100.  Then there is a heartworm preventative (daily or monthly), flea/tick control (Pet and premises), dental care, food, accessories, as well as many other unforseen items/circumstances (such as an accident or illness).
Are you prepared to meet these requirements:
How soon were you hoping to adopt:
How much supervision of the dog and your children will be provided:
How do you/would you encourage and reinforce your dog's appropriate or good behavior:
How would you prevent and manage your dog's inappropriate or bad behavior:
Have you ever crated a dog:
If needed, are you willing to crate this dog?
Do you own a crate already:
What size is the crate you currently own:
Are there any other residents in your home other than a spouse and children:
If yes, please explain:
Residence type:
Do you:
Are there any weight restrictions where you live:
If yes, please explain:
Describe the size of your home (sq. ft):
Describe the size of your yard:
Is your yard fenced:
What is the type and height of your fence:
How will you exercise the dog and give it potty breaks:
Veterinarian's Name:
Veterinarian's Phone Number:
Veterinarian's Address:
Name of closest relative NOT living with you:
Relative's Phone Number:
I ATTEST THAT ALL ANSWERS I HAVE PROVIDED ON THIS APPLICATION ARE CORRECT
I UNDERSTAND THAT SOUTHWEST GREAT DANE RESCUE, INC. HAS THE RIGHT TO REJECT ANY APPLICATION FOR ANY REASON
I AGREE WITH THIS PRIVACY NOTICE:  SWGDR MAY SHARE YOUR APPLICATION INFORMATION WITH OTHER RESCUE ORGANIZATIONS AS PART OF THE APPROVAL AND SCREENING PROCESS.
Type Applicant's name to serve as a signature:
Date:
Type Co-Applicant's name to serve as a signature:
Date:
SWGDR will NEVER sell your information or share it with any other outside resource.
ALL DOGS IN YOUR HOME MUST BE ALTERED (SPAYED/NEUTERED) FOR YOUR APPLICATION TO BE CONSIDERED FOR ADOPTION OR FOSTER.
I have read the "Fees & Process" page and agree to all of the terms of adoption and/or foster requirements. ***Failure to check YES can result in your application NOT being processed.
AdoptionFoster
YesNo
YesNo
YesNo
YesNoN/A
MaleFemaleNo Preference
Doesn't matterPuppyYoung AdultMature Adult
Dosen't matterNaturalLeaderFollowerFriendlyAloofOutgoingDemands attention
Doesn't matterHighModerateLow
YesNoDepends on mix
YesNo
YesNo
N/AMaximumSomeMinimalNone
YesNo
YesNo
YesNo
YesNo
HomeApartment/condoTrailerFarm
OwnRent
YesNo
YesNo
AgreeDisagree
AgreeDisagree
AgreeDisagree
YesNo