Pre-Adoption Form
Great Dane Rescue of South Florida
Name:____________________________________________________________
Address:__________________________________________________________
Home Phone:_______________Work
Phone:____________________
Age:_________Spouse
Age:__________
Number of
children:_________________Ages:__________
Referred
by:________________________________________________________
Residence: Single Family_____Apt/Condo_____Trailer_____Farm_____Other____
Are you willing to permit a home
check? Yes____No____
Fenced yard? Yes____No____
Leashed walks?
Frequent_____Occasional_____None_____
How many hours left alone per
day?_____________________________________
Where will dog stay when
alone?_______________________________________
When family is
home?_______________________________________________
Do you currently own a
dog?________How many?______
Breed,sex,name and age of dog(s)_____________________________________
Do you have a preference about
male or female dog?_______________________
Do you have a color
preference?______________________________________
Ears: cropped__________or uncropped__________
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Pre-Adoption Form
Great Dane Rescue of South Florida
Are you willing to travel to pick
up dog? Yes_____No_____
What age appeals to you most?
Pup____6-18mth____24-39mth____other_____
Are you aware of the yearly costs
of maintaining a heathly dog?______________
There is a $350.00 adoption fee for adult dogs and $400.00 for puppys
to help cover vaccination, neutering
/spaying , shots, and other
medical bills.
Why do you want a
dog?___________________________________________
What aspect of a dog is most
important to you? Protection____Friendship_____
How would you prevent, manage
your dog’s inappropriate (not so good)
Behavior?______________________________________________________
Are all members of your household
aware you are acquiring a dog?__________
Do they all
approve?______________________________________________
Who will be primary
caregiver?______________________________________
Disposition of prior dog(s):
stolen_____ran away_____sold_____given away___
died_____euthanized_____
Why?__________________________________________________________
Veterinarian (name &
number)_______________________________________
Fax
to:(561) 747-9404 or (561) 748-4017. or Mail
to:
Anna Smith
10730 150th crt N.
Jupiter, Florida 33478
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