Application

Please read through instructions thoroughly before submitting your application.

Southern Style Great Dane Rescue charges a $25 non-refundable application fee for all applicants interested in adopting. Even if your application is declined, this fee is considered a donation to the rescue and will not be refunded. Foster applicants do NOT have to pay the $25 fee. Please review our FAQ’s prior to submitting the application, so that you ensure you meet all the requirements prior to applying.

Adoption applications WILL NOT be processed UNTIL the $25 fee has been received. Fees can be paid via paypal to southernstylegdr@gmail.com

ONLY complete an application if you are looking to adopt in the next 90 days.

ALL fields MUST be completed to ensure processing.

Please provide current vet info and ensure your vet will release all relevant information to the rescue organization. Failure to do so will cause your application to be denied.

I would like to: *

Name *

First

Last

Age *

Co-Applicant Name

Co-Applicant Age

Street Address *

City *

State *

You must be willing to travel for out of state adoptions. We do NOT ship our Danes via air or multi-dog transport.

Zip Code *

Home Phone *

Cell Phone *

Email *

Best Time to Call *

Place of Employment *

Why do you want to adopt a Great Dane? *

Do all household members want to adopt? *

Have you owned a Great Dane *

What would be your preference in a Great Dane? *

Please explain: (color, age, gender, etc.)

Do you consider yourself/family to be active in such a way that it would include your Dane? *

Please explain: *

Please list name and ages of all humans in your household: *

Some Danes may require all children in the home to be 8+ years to adopt.

Please list all dogs current and previous (name, gender, age, breed, spay/neuter, living/deceased): *

All dogs in the home MUST be spayed/neutered & UTD on vaccinations UNLESS there is a documented health reason.

If your dog is not spayed/neutered, please explain why:

Please list all cats current and previous (name, gender, age, breed, spay/neuter, living/deceased): *

If your cat is not spayed/neutered, please explain why:

Other animals? *

Have you ever sold, rehomed, surrendered or put down a pet? *

If yes, please explain:

If there are no children living in your home, will your rescue Dane have regular contact with any children under the age of 8? *

If yes, please explain:

If there are no other pets living in your home, will your rescue Dane have regular contact/socialization with others? *

Please explain: *

Does anyone in your household have allergies or asthma? *

If yes, who and what kind?

Are you aware that dogs can shed all year around? *

Who will care for, train and exercise your Dane? *

How will you exercise your Dane? *

If you do not currently have a dog, have you ever owned a dog in the past for which you were the primary caretaker? *

If yes, please explain:

Name of veterinarian? *

Note, if you do not currently have a pet, please list past vet info and/or who you intend to use.

Veterinarian address? *

Veterinarian phone? *

Do you own or rent your home? *

How long at current residence? *

If you rent, has the property owner provided written permission for you to have a large breed? *

Please provide the property owner's name and contact number:

Do you have a fenced yard? *

If yes, please describe (completely enclosed, shade, height, gates):

Where will the Dane live? *

Where will the Dane sleep? *

Where will the Dane eat? *

Will the Dane be allowed on furniture? *

Will the Dane be allowed free run of the house? *

How many hours per day will your dog be home without humans on a regular basis? *

Where will the Dane be kept when you are not home? *

Are you familiar with the use of a dog crate to train and/or confine the dog during your absence or at night? *

Are you planning to use a crate? *

What do you do with your pets when you're away from home overnight? *

Are you aware that costs for maintaining a Dane can average $1000 or more per year (food, annual check ups, shots, heartworm and flea/tick preventatives, grooming, etc.)? *

Will the Dane be walked daily? *

Have annual check ups? *

Receive formal obedience training, if needed? *

If you move, what will you do with your Dane and other pets? *

Would you allow follow up home visits from a rescue representative before and after adoption? *

Are you aware of and do you understand the state/local ordinances concerning dog licensing and leash laws? *

Has any member of your household been cited for licensing or leash law violations? *

If yes, please explain:

Will you call SSGDR at the onset of any type of illness or health problems within 30 days following adoption? *

What would you do if one of your pets requires significant/costly medical attention? *

Personal Reference One (name, phone, email, relationship, years known): *

Please do not list family members.

Personal Reference Two (name, phone, email, relationship, years known): (copy) *

Please do not list family members.

Are you willing to give the new Dane at least 30 days to ensure proper adjustment? *

If no, please explain the conditions you would return:

Have you researched Great Danes? *

Any questions or comments to the rescue?

How did you hear about us?

If a Great Dane is placed with me/us, I/we agree to cooperate with Southern Style Great Dane Rescue in its attempt to provide a smooth adoption. I also agree to contact SSGDR about problems that might arise in the future. Should the dog need to be removed, or euthanized (prior to normal old age), I/We will contact Southern Style Great Dane Rescue first to determine whether the dog might be a candidate for placement elsewhere. By submitting this application, I certify that the information that I have provided is true, correct and complete to the best of my information and belief and that I have not willfully concealed any information in answering the above questions. *

Phone