Address:_________________________________________________________________________
Phone: home_________________________________(Work)_______________________________
Do you live in a house_____________apt.,_____________trailer,_____________or?_____________
Do you have a fenced yard?_________Type:_____________________Height:__________________
Do you have any children?__________If so, what are their ages?______________________________
Number and ages of adults in your home?________________________________________________
Do you have any dogs, cats or any other pets?____________________________________________
If so, please list them with their age and sex:_____________________________________________
Have you ever owned a Great Dane?___________________________________________________
Do you prefer a Male or Female?_____________________________________________________
Do you prefer a certain color?___________________________________If so please specify
Please specify an age range of the Great Dane you would like:________________________________
Where will your Great Dane sleep? ____________________________________________________
Please give the name, address and phone of your Veterinarian:_________________________________
Comments:______________________________________________________________________
______________________________________________________________________________
Please list 2 personal references:_____________________________________________________