Please provide the following contact information. All information will be kept strictly confidential.

Name:
Organization:
Physical Address:
Address (cont.):
City:
State/Province:
Zip/Postal Code:
Mailing Address:
Address (cont.):
City:
State/Province:
Zip/Postal Code:
Country:
Work Phone:
Home Phone:
Cell Phone:
FAX:
E-mail:

Placing our Mount N Great Danes in good homes and with the right family is very important to us. Please answer the following questions to help us ensure our Mount N Great Danes would be a good match for you and for your family dynamics.

Have you ever owned a Great Dane before?

Yes No

Do you understand the average lifespan for Great Danes is approximately ten years, maybe more or maybe less?

Yes No

Have you considered the expense of owning a large breed canine?

Yes No

Are you planning on showing your new Mount N Great Dane?

Yes No

Are you planning on breeding your new Mount N Great Dane?

Yes No

Have you ever returned a pet to a breeder for any reason?

Yes No

Have you ever taken a pet to the Animal Shelter or other rescue organization for any reason?

Yes No

Do you have the time to properly obedience train a young puppy?

Yes No

Do you have a nice park or other recreational area within walking distance of your home?

Yes No

Do you have a gender preference?

Male Female  No Preference

Do you have a color preference?

Black Blue Harlequin Mantle

What age Great Dane do you prefer?

Puppy (birth to 5 months) Adolescent (5 months to 2 years) Adult (2 years to 6 years) Mature (6 years and older)

Please describe your residence.

Apartment/Condo House Farm/Ranch

Do you own or rent your current residence?

Own Rent

If you are renting/leasing your home, are there any animal restrictions?

Yes No

Are all members of your family in agreement with purchasing a Great Dane?

Yes No

Please indicate the size of your yard.

No yard Courtyard Less than one acre One to five acres Five or more acres

Is your yard fenced?

Yes No

Where will your Great Dane spend most days?

House Yard Kennel Other

Where will your Great Dane sleep at night?

House Yard Kennel Other

Why would you like to adopt a Mount N Great Dane? Please be specific.

Is there anything else you would like to share regarding your purchasing a Mount N Great Dane?

Would you like to be put on a waiting list for our next litter?

Yes No

Do you have a Mount N Mom preference?

No Preference Mount N Beauty Mount N Kootniey

Would you like to make a request for a specific puppy at this time?

Yes No

If yes, please indicate the litter box name and the puppy identification name.

Would you like to make an actual reservation at this time?

Yes No

Thank you for taking the time to fill out this Mount N Great Dane Adoptive Family Application Form. We will contact you as soon as your application is reviewed.                                                                                                                           
                                                                                                                                                Mount N Danes Staff