Puppy Application Form

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone(Required)

Please tell me a little about yourself and family/household. Do you have any children? If so, what are their ages?(Required)

What is your relationship status?(Required)

I'm Single

I'm Married

I'm in a Long-Term Relationship

What is your schedule/typical day like?(Required)

Where will this puppy reside?(Required)

Where will it be when left at home alone?(Required)

How many hours will it be alone during the day?(Required)

Where will the puppy sleep?(Required)

Who will be primary caretaker of the puppy?(Required)

Do your own, rent or lease? *If you rent or lease please provide landlord’s name and phone number to confirm approval of puppy.(Required)

Are there any restrictions in your neighborhood, housing or property insurance against the Great Dane breed?(Required)

Do you have a fenced yard adequate in size and height for a Great Dane to be active in? Please describe:(Required)

Do you have a pool or spa? If yes, is it fenced in?(Required)

Are there any other animals in your home? If so, how many and what kind?(Required)

Have you owned a Great Dane or large/active breed before? Other breed? Please describe.(Required)

What made you decide on a Great Dane?(Required)

What trait do you like best about this breed? Are there any traits you have concerns with or like least about this breed?(Required)

Are you prepared for basic dog ownership of a Great Dane? (exercise, attention, obedience training, socialization, proper nutrition, nail care, ear care (if posting), crate/potty training, basic vet care) Please describe.(Required)

Did your previous pets live out their entire lives with you? If no, please describe.(Required)

Have you ever had to return, rehome or surrender any of your pets? If so, please describe.(Required)

Are you familiar with the potential health risks with this breed?(Required)

Are you looking for a pet companion? Or is your interest in breeding?(Required)

Do you have a preference in gender of puppy? *If another male dog resides in the home, we will need to discuss.(Required)

Any preference in color?(Required)

Are there any particular personality traits you are looking for in your Great Dane?(Required)

All pet/companion puppies (non-show) are required to be spayed or neutered by a certain age outlined in the contract and are sold on a limited (non-breeding) registration. Are you agreeable to this?(Required)

How did you hear about Wheaton Prairie Danes?(Required)

Will you stay in contact with us throughout the dog’s life and update us with any address, phone, or email changes?(Required)

If for some reason you are unable to keep this puppy/dog are you willing to give him/her back to us so we can find a suitable replacement home for him/her?(Required)

Please list your veterinarian and phone number.(Required)

What question/comments/concerns do you have for me?(Required)

Do you understand that if you put a deposit down on a puppy and the puppy is not paid for in FULL by the time it is 8 weeks old then you will lose your deposit and understand NO refunds will be given?(Required)

Do you understand that if something happens to the puppy before you pick it up, you will only be given a replacement puppy of equal value?(Required)

Do you agree to follow the feeding recommendations for this breed unless advised by your veterinarian?(Required)

Do you understand that your puppy will come pre-chipped and registered?(Required)

Signature(Required)

Today's Date:(Required)