This application allows you to easily compile the information we need from you so that we may consider your request for a Dane D'Coeur Great Danes puppy. Submitting this form does not obligate you to purchase a puppy nor does it guarantee that we will have a puppy for you.  This allows us to get to know you and learn why you are interested in purchasing and owning a Great Dane.  If you have questions about our dogs or how Danes will fit into your family, please feel free to email or call us at any time.

When filling out the form, please be sure to include your email address and make sure that it is accurate. You will receive a response from us after submitting this form.

A home visit will be required either by myself or a representative of Dane D'Coeur Great Danes.

Today's Date

Why do you want a Great Dane?

When do you want to purchase a dog?

Do you prefer male or female?

Male Female No Preference

Do you have a color preference?

What do you intend to do with your dog? Select any of the following options that apply:

Obedience Classes
Competitive Obedience
Agility
Conformation
Breeding
Pet
Other (Explain below)

Are you prepared to accept Co-ownership, Limited Registration and a spay/neuter contract?

Limited Registration means that your dog is registered with AKC but if you breed the dog/bitch

the puppies will not be able to be registered with AKC.

Yes No

If No, why not?

If you currently have no dogs, have you ever owned a large dog?

Yes No

If you previously owned a large dog, what breed and what happened to it?

How many people and animals are in your household?

If there are any children, how old are they?

How will they be involved in the raising of a new puppy or dog?

If you rent your home, does your rental agreement allow you to keep a large dog?

Yes
No
Not Applicable

How long have you been at your current residence?

Less than 6 months
6-12 months
1-3 years
More than 3 years

Is your yard fenced and if so, how high and with what?

Where will you keep your dog when no one is home, at night or when you are away on vacations?

How many hours per day will this dog be left alone?

1-3
3-6
6-9
9+

If more than 6 hours, will there be a lunch walk?

No
Yes, by a family member
Yes, by a dog walker

What kinds of things will you do to socialize your new puppy when he/she comes into your home?

Please supply a reference that we may call and speak with regarding you and your family as

prospective owners.