Black Tie Danes
Great Dane Application
First Name *
Last Name *
Email *
Phone Number *
Street Address *
City *
State *
Select one...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Postal Code *
Country *
1. Veterinary Contact Information: Name and Phone Number *
2. Are you looking for a companion, conformation, or sporting puppy? If you are interested in our guardian or co-own opportunities please select that option. *
Companion
Conformation
Sporting
Guardian Opportunity
Co-Own
Unsure
3. Do you Rent or Own? *
Select one...
Rent
Own
4. If renting, does your landlord allow giant breed dogs? Some insurance policies exclude them, which may be their reasoning. *
5. Do you have a fenced yard? If not, that's ok. *
6. How many hours will the puppy be left alone per day? *
7. Where will the puppy stay during the day and sleep at night? *
8. Have you owned a Giant breed before? *
9. What other pets do you have in the home? If dogs, please indicate if they are spayed or neutered and their age. *
10. Have you ever had to rehome a pet? If yes, explain: *
11. Are your current pets up to date on vaccinations? *
Select one...
Yes
No
12. Are you familiar with Great Dane health concerns (e.g. bloat, joint issues, etc.)? *
13. Why do you want a Great Dane? *
14. Preferred Gender? *
Male
Female
Unsure
I certify that the information provided is true and complete. I understand that submitting this application does not guarantee approval. *
Submit Application
