FOR THE LOVE OF DANES RESCUE SOCIETY

Application for Adoption

 

Thank you for your interest in adopting a Great Dane in need of a permanent home! Part of our adoption process involves assessing both the dog and the potential new owner. Please fully complete and sign this Application for Adoption, and return to:

For the Love of Danes Rescue Society

C/o Sharon & Nikki King

P.O. Box 455

Beiseker AB

T0M 0G0

Fax 403-947-2938


Note: Incomplete or unsigned applications will not be assessed or considered.

 

PreScreening


1.     Do you have a securely fenced yard?  Yes           No

Please note: our rescue policy prohibits us from placing any Dane in a home that does not have a securely fenced yard. 

2.     Do you have objections to a rescue officer visiting your home prior to an adoption?   Yes    No

3.     To help defray costs and allow us to continue with our rescue operation, a $350.00 donation is required for each Dane prior to being placed in a home.


       Do you agree to pay this amount?      Yes           No

 

Applicant Information

Full Name:

     

     

Date:

     

                         Last

First

Address:

     

                         Street Address

 

     

     

     

                         City

Province

Postal Code

Phone (Home):

(     )      

E-mail Address:

     

Phone (Bus):

(     )      

Phone (Cell):

(     )      

CKC # (if applicable):

     

 

 

How did you hear about us

 Internet        Shelter       SPCA

 Other      










 

Application

1.     Why do you want to adopt a rescue Great Dane?

     

2.     Have you owned a Great Dane in the past?

Yes  No

3.     If no, have you had exposure to the breed?

Yes  No

if yes, where:       

4.     What is your dwelling type:

 House        Apartment       Farm

 Condo        Town House

5.     Do you own or rent your dwelling

 Own           Rent

5A. If renting, does your lease agreement allow for

      large dogs within the premises?

 

Yes  No

 

Please provide the following information:

Landlord's Name:       

Telephone:  (     )      

6.     How long have you lived at this address?

     

7.     How large is the property?

     

8.     If you are on a rural property, are you willing to properly enclose a suitably sized area for a Great Dane?

Yes  No

 

9.     Do you have any relocation plans in the next 5 years?

Yes  No

10.  In the event of a move, are you willing to include the Great Dane in your relocation plans?

Yes  No

11.  In the event of a move, are you willing to advise us of your new address?

Yes  No

12.  When you go on vacation, what plans will be made to accommodate your Great Dane?

     

13.  Do you have any experience housetraining a dog?

Yes  No

14.  Do you have any experience in basic obedience training?

Yes  No

15.  Are you familiar with crate training principles?

Yes  No

16.  Are you willing to crate train if necessary?

Yes  No

17.  Will the Great Dane be crated after the initial training period?

Yes  No 

Comment:      

18.  On a regular day, how many hours will the Great Dane be left alone?

     

19.  Where is the primary residence of the Great Dane?

 Inside House        Outside     Garage

20.  Where will the Great Dane be kept while you are away from home?

 Inside House        Outside     Garage

21.  Do you presently have any animals?

      Please note: Pot-Bellied pigs, or any other

     member of the pig family are instinctive prey for  

     Great Danes!

 

 Dog        Cat     Livestock

 Caged Animal (bird, ferret etc)

Please specify:      

 

 

22.  If you currently have a dog, what age and breed?

Dog 1:

Age:         Breed:       

Reproductive Status: 

 Neutered   Spayed   Intact

 

Dog 2:

Age:         Breed:       

Reproductive Status:

 Neutered   Spayed   Intact

 

Others:      

23.  Other than current dogs, how many dogs have you owned in the past?

     

24.  What happened to them?

Dog 1:

 Old Age   Ill  Humanely Euthanized

 Surrendered

 

Dog 2:

 Old Age   Ill  Humanely Euthanized

 Surrendered

 

Dog 3:

 Old Age   Ill  Humanely Euthanized   

 Surrendered

 

25.  How many family members reside in your household?

     

26.  Are there people home during the day?

Yes  No

27.  Are there children living in the home?

Yes  No

If yes, please provide number and ages:      

28.  Do any members of the family have allergies toward dogs?

Yes  No

29.  Are all family members agreeable to a Great Dane adoption?

Yes  No

30.  Will each member of your family be available to meet an potential adoptee?

Yes  No

31.  Do you have any preferences for a rescue Great Dane?

Sex:

Male     Female

Age:

Young Adult    Mature Adult

32.  Is there anything else you would like us to consider that would assist us to determine a proper placement for you?

     

 

References

(please list your veterinarian and at least one personal reference)

 

Full Name:

     

Relationship:

Veterinarian

 

 

Company:

     

Phone:

(     )      

 

 

 

 

 

 

 

 

Full Name:

     

Relationship:

     

 

 

Company:

     

Phone:

(     )      

 










 

Declaration:

I declare that I have read and understood the information on this application, and that all statements made with respect to this application are true and complete. I understand that misrepresentation, falsification, or the withholding of requested information with respect to this application can result in cancellation of this application, and, in the event I have received a Great Dane based upon false information, I agree to surrender the Great Dane back to For the Love of Danes Rescue Society.

 

Date:                                  Signature:      _________________________

 

 

Please note: the following excerpts are from the contractual agreement you will be required to sign on adoption

1. To maintain the Great Dane in the Adopter's house as a household pet, to provide a secure fenced area for unsupervised exercise periods, to ensure that the Great Dane is not exposed to extreme temperatures, to not tie the Great Dane on a rope, chain or leash of any sort while unattended, to transport the Great Dane only in an enclosed vehicle, and to ensure that the Great Dane is treated humanely throughout its life.

2. To be responsible for the care, control and maintenance of the Great Dane from and after the date hereof and to ensure that:

a) The Great Dane receives full preventative medical care as warranted throughout its life, including placing the Great Dane on an inoculation program and heartworm prevention program established by the Adopter's veterinarian in order to guarantee the health of the Great Dane;

b) All annual rabies vaccinations and license obligations as are required by law are complied with; and

c) The Great Dane is kept under care and control reasonably designed to minimize disruptions to neighbours or the public.

3. Shall not relocate the Great Dane to any other person, firm, organization or corporation for any reason whatsoever.



Completed applications can be emailed or faxed to 403 . 947 . 2938

Please note we require an application to be completed and submitted in order to be considered to adopt a rescue Great Dane.  We do not arrange meetings between prospective adopters and the Great Dane without an application being submitted.  We do NOT accept or return phone calls inquiring about adopting.