Surrender Your Dane

FIRST AND LAST NAME

PHONE

ADDRESS

CITY, STATE and ZIP

DOG'S NAME

DOG'S GENDER:

DOG'S AGE

COLOR

HOW LONG HAVE YOU HAD DOG?

SPAYED/NEUTERED?

WEIGHT?

IS THIS A PUREBRED DANE?

IF MIXED, WITH WHAT?

CRATE TRAINED?

CAN YOU DONATE CRATE?

IS DANE GOOD WITH SMALL DOGS?

IS DANE GOOD WITH CATS?

IS DANE GOOD WITH LARGE DOGS?

IS DANE GOOD WITH KIDS?

AGE OF CHILDEN LIVING WITH DOG?

IS DANE OBEDIENCE TRAINED?

IS DANE DESTRUCTIVE?

ANY BEHAVIORAL PROBLEMS? EXPLAIN IN DETAIL

HAS THE DANE BITTEN OR ATTEMPTED TO BITE A PERSON? PLEASE EXPLAIN IN DETAIL:

DOES DANE LIVE WITH ANY OTHER DOGS? LIST BREED, GENDER, AGE:

VETERINARIAN NAME, ADDRESS, PHONE NUMBER:

DOES DANE HAVE ANY HEALTH ISSUES? PLEASE EXPLAIN:

IS DANE CURRENT ON VACCINES? WHAT IS DATE OF LAST SHOTS?

WHAT BRAND OF FOOD DOES THE DANE EAT?

IS THE DANE CURRENT ON HEARTWORM PREVENTATIVE? IF NOT, HOW LONG HAS IT BEEN OFF PREVENTION?

HOW FAR WILL YOU TRANSPORT THE DOG?

DOES THE DANE HAVE PAPERS?

IS THERE A BREEDER CONTRACT IN PLACE?

IN ORDER FOR US TO DETERMINE THIS DOG IS A GREAT DANE, WE NEED AT LEAST TWO FULL-BODY PHOTOS SHOWING THE SIZE AND HEIGHT OF THE DOG.

UPLOAD PHOTO OF DOG

CAN YOU PROVIDE A DONATION TO OFFSET RESCUE EXPENSES?

WHERE DOES THE DOG STAY DURING THE DAY? NIGHT?

WHY DO YOU NEED TO SURRENDER YOUR DOG?

HOW SOON DO YOU NEED TO SURRENDER?

IS THE DANE HOUSEBROKEN?

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 YOUR FULL NAME AS SIGNATURE HERE

Thank you for submitting.