APPLICATION
Co-Applicant's Information
Pet Information
Preferences
Residence Information
Reference Information
*SWGDR will be checking your references
I ATTEST THAT ALL ANSWERS THAT I HAVE PROVIDED ON THIS APPLICATION ARE CORRECT.
I UNDERSTAND THAT SOUTHWEST GREAT DANE RESCUE, INC. HAS THE RIGHT TO REJECT ANY APPLICANT 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.
SWGDR will NEVER sell your information or share it with any other outside resources.
*It is important to understand some dogs are not comfortable around young children, we want to find the right dog for you
*Some rescued danes have pre-existing health conditions or problems that may require further care by the adopter (skin problems, cataracts, etc.)
*Yearly vaccines can be $70-$100. Then there is heartworm preventative (daily or monthly), flea/tick control (pet and premises), dnetal care, food, accessories, as well as many other unforeseen items/circumstances (such as accidents or illness).
*We do not adopt out of the State of Florida
*Adoption fees:
$300.00. for adult dogs
$500.00 for puppies
*This fee is used to offset rescue and medical costs.
Southwest Great Dane Rescue, Inc.
is registered with the Florida Department of Consumer Services to solicit contributions.
Registration Number: CH25130
“A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.”
Your application will be valid for 6 Months
You must be over 21 years old to adopt from SWGDR
Name:
E-mail :
Address:
City:
State:
Marital Status:
Your Occupation:
Ages of Children:
Your Age:
Children:
How did you hear about us?:
Referred by:
Employer's Name and Phone #:
Co-Applicant's Name:
Relationship to Applicant:
Age:
Co-Applicant's Employer and Phone #:
Phone #:
Have you ever owned a Great Dane?:
Do you currently have any pets?:
What kind of pets?:
How many dog(s) do you own?:
How many hours will the dog be alone per day?:
Where will the dog be kept when family is...
Home:
Gone for work:
Does anyone in your family have physical impairments?:
When away on vacation, do you?:
Other, please explain:
What gender would you prefer?:
What color would you prefer?:
What size would you prefer?:
Ears?:
Age?:
Temperment 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?:
Are you prepared to meet these requirements?:
How soon do you want to adopt the dog?:
How much supervision of the dog with your children will be provided?:
How 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?:
Are you willing to crate this dog if needed?:
Do you have a crate already?:
What size?:
Which dog are you interested in?:
Are there other residents in your home besides spouse and children?:
Other, please explain?:
Type of residence?:
Other, please explain?:
Do you?:
If you rent, what is your Landlord's name?:
Landlord's Phone number?:
Are there any size or weight restrictions on pets where you live?:
Location of residence?:
How long have you lived at this address?:
What is the size of your current living area in sq. ft.?:
What is the size of your yard?:
Is the yard fenced?:
What type of fence?:
Height of the fence?:
How do you plan to exercise the dog and give it potty breaks?:
Veterinarian's Name?:
Veterinarian's Phone #:
City:
State:
Zip:
Name of closest relative, NOT living with you:
Phone#:
Type applicant name to serve as signature:
Type co-applicant name to serve as signature:
Zip:
Phone #:
Please re-enter your E-mail :
I would also like to foster a Dane
Are your pets Spayed/Neutered?
If your pets are NOT spayed/neutered, please explain:
