Von Shrado Great Dane 

Puppy Inquiry Form    

 
The following questions are being asked of you so that the right puppy and the right placement of each puppy is made by bringing the various requirements of both the puppy and his/her new owner(s) into perspective, BEFORE a choice is made. I hope you will agree that the animal's health and welfare must be my foremost concern in considering a placement. Please answer the following questions as completely as you can, and return this form when you have finished.
Name:                                                                         Spouse:
Address:
City: State: Zip:
Home Phone: Work Phone: Cell Phone:
Fax: E-Mail:
Occupation:
Spouse’s Occupation:
Do you have any children?  If yes, what are their ages.
Type of dwelling (Select 1 X ):      House  (   )      Condo  (   )      Apartment   (   )     Mobile Home    (   )
If renting, please give name and address of landlord:
Does the rental contract allow large dogs?
How long have you lived at this address?
Name, address and phone number of your veterinarian:
Why do you want a Great Dane?
Who will be the primary care giver?
Where will the puppy be kept during the night?
Where will the puppy be kept during the day?
Is anyone home during the day?  If yes, Who?
How many hours on the average will the puppy be left alone?
Will there be someone available to feed and exercise the puppy during the day?
Have you ever owned a dog before?   Select 1:  Yes (   )            No (   )
If yes, what breed:
If you have previously owned a Great Dane, who was it purchased from?
Breeder or Kennel Name?
Do you have any other animals?           Select 1:  Yes  (   )          No (   )
If yes, what Breeds and Sex?
Do you intend to breed the dog?           Select 1 :  Yes (   )           No (   )

Do you understand the difference between a limited registration and a full registration?                                             Select 1 :  Yes (   )          No (   )
Are you interested in a Male or Female puppy?  Select 1:  Male                   Female
What Color Preference Do you have? 1: 2: 3: 4:
References: List names and phone number of at least "2" people, not related to you, who know how your animals are cared for.
1:
2:
What do you expect the activity level of a Great Dane to be:
Very high: High: Moderate: Below average:
What kind of floor surfaces will the dog be on in the house?
How many hours a day will the puppy be kept outside?
How will he be confined when he is outside?
Do you have a fenced yard or suitable pen?
Have you ever house trained a dog before?
Will you be attending any training classes?
If yes, at what age will you start, which activities or competitions are you interested in?
How long did your last pet live?   What were the circumstances of its' death?
Have you ever returned a pet to the breeder? If so, what were the circumstances?
Have you ever given a pet away? If so, what were the circumstances?
Have you ever taken a pet to a pound or shelter? If so, what were the circumstances?
Are you interested in showing the dog in the conformation ring?
Have you ever shown a dog to it's championship?
Are you interested in competition in performance events such as obedience, agility etc?
Are you willing to raise the puppy Naturally?  This means to feed a BARF diet (Bones and Raw Food) or a naturally preserved, good quality dog food:  Select 1:  Yes (   )           No (   )
Are you willing to seek medical help with a Homeopathic Veterinarian?  Select 1:  Yes (   )    No (   )
Are you aware of the dangers of Vaccines?    Select 1:  Yes (   )           No (   )
Are you willing to use Homeopathic Nosodes instead of Vaccines?  Select 1:  Yes (   )       No (   )
If you choose no, are you willing to not give ANY combination vaccine?  Select 1:  Yes (   )    No (   )
Have you or anyone in your immediate family ever been convicted of any charge related to cruelty to animals or child abuse?                 Select 1:  Yes (   )           No (   )
Is any such charge pending?         Select 1:  Yes (   )           No (   )

May we visit your home and check with the references you have provided?                                                      Select 1:  Yes (   )      No (   )       
Signature: Date:
Return to:
Von Shrado Great Danes
Jim & Sandy Hann
757 Forehand Road
Pikeville, NC 27863

 

http://www.vonshrado.com

shrado@bellsouth.net

 


Phone # (919)736-3776


 Von Shrado Great Danes
Jim & Sandy Hann
Email: shrado@bellsouth.net

 
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