1. Name:
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2.
Address:
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3.
City:
State: Zip
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4.
Phone:
(home)
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5.
E-mail:
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6.
Referred by:
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7.Why
do you want a Great Dane?
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8.
What
reference materials have you read?
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9.Type
of dwelling: house condo apartment mobile home
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10.
If
renting, please give name and address of landlord:
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11.Does
the rental contract allow large dogs?
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12.How
long have you lived at this address?
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13.Name,
address and phone number of your veterinarian
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14.
Who
will be the primary care giver?
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15.
Where
will the puppy be kept during the night?
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16.Where
will the puppy be kept during the day?
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17.
When
your family is on vacation ?
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18.
Is anyone home during the day?
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19.
If yes
who?
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20.
How
many hours on the average will the puppy be left alone?
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21.
Will
there be someone available to feed and exercise the puppy
during the day?
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22.
Have
you ever owned a dog before?
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23.
If
yes, what breed
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24.If
you have previously owned a Great Dane, where was it
purchased from?
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25.Breeder
or Kennel Name?
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26.
Do you
have any other animals?
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27.
If
yes, what kind?
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28.
Do you
have any children? If yes, what are their ages?
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29.
Does
anyone in your household have allergies to animals?
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30.
If
yes, to what and how severe?
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31.What
color/pattern would you prefer?
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32.
Are
you interested in a male or female puppy?
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33.
At
what age do you wish to get the puppy?
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34.
Have
you considered an older dog instead of a puppy?
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33.
What
do you expect the activity level of a Great Dane to be:
low?, medium? very high?
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34.
What
kind of floor surfaces will the dog be on in the house?
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35.
How
many hours a day will the puppy be kept outside?
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36.
How
will he be confined when he is outside?
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37.Have you ever housetrained a dog before?
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38.Will you be attending any training classes?
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39.If yes, at what age will you start, which activities or
competitions are you interested in?
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40.How long did your last pet live? What were the
circumstances of its' death?
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41.Have you ever returned a pet to the breeder? If so, what
were the circumstances?
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42.Have you ever given a pet away? If so, what were the
circumstances?
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43.Have you ever taken a pet to a pound or shelter? If so,
what were the circumstances?
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44.Are you interested in showing the dog in the conformation
ring?
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45.Have you ever shown a dog to it's championship?
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46.Are you interested in competition in performance events
such as obedience, agility etc
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47.Have you shown a dog to any performance titles?
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48.Do you intend to breed the dog?
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49.Do you understand the difference between a limited
registration and a full registration?
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50.List names and phone number of at least "2" of other
individuals, not related to you, -who know or have known
your other animals
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51.Have you or anyone in your immediate family ever been
convicted of any charge related to cruelty to animals or
child abuse?
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52.Is any such charge pending?
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53.May we visit your home and check with the references you
have provided here?
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Signature if printed out and posted, otherwise hit send
button for the form to be sent electronically
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If you can think
of anything on a more personal note that you'd like to add to this,
I'd love to hear it. The idea behind these questions is that knowing
the pups temperaments from day one, we may see different things in
them than you would as a stranger attempting to pick one, and may be
able to guide you towards a puppy which realistically suits your
experience, family needs and ownership goals.
Arana
Greenberg, 528 E. Avenida San Juan, San Clemente, CA 92672
Phone: 714-296-3716 ** Email: champdane@hotmail.com
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