City, State and Zip:
How long have you had this dog?
If no, mixed with what?
Why do you need to find a new home for the dog?
When do you need to find a home for the dog?
Where does the dane stay during the day? And at night?
Is the dane housebroken? If no, explain:
Good with big dogs? If no, explain:
Good with small dogs? If no, explain:
Good with cats? If no, explain:
Good with children? If no, explain:
Age of children living with the dog?
Is the dane obedience trained?
Is the dane destructive?
Behavioral problems? Please explain:
Does the dane live with any other dogs? If so, please list breed, gender, age of other dogs:
If the dane has bitten or attempted to bite a person, please give details:
If the dane has bitten or attempted to bite an animal, please give details:
Veterinarian Name, Address and Phone Number:
Is the Dane spayed or neutered?
Current on Vaccines? Date of last shots?
Current on Heartworm preventative? If not, how long off preventative?
Brand of dog food:
Please email us pictures of your dane to NWFLGDR@gmail.com. Confirm you will send pics:
How far will you transport the dog to rescue?
Know the breeder? Is there a contract with the breeder to return the dane?
Breeder contact info:
Can you provide a cash donation to offset rescue expenses?
Additional information and comments:
I agree and understand that if Northwest Florida Great Dane Rescue chooses to accept into the rescue the described dog, that I am giving up all rights of possession and ownership of the dog. I agree and understand that this dog will become the sole property of Northwest Florida Great Dane Rescue. I promise that the information I am giving is accurate, and that Northwest Florida Great Dane Rescue will not be held liable or chargeable for any false information or misrepresentations that I may have submitted on this form. I further agree and understand that Northwest Florida Great Dane Rescue will do whatever is necessary for the safety and well-being of this dog.
Type Full Name to serve as signature: