Oliv Danes Puppy Application Form Date of Application: Your Full Name: Your Address: Home Phone #: Work Phone #: Email Address: Occupation Do you have children? Yes No If so what are their ages? Which puppy are you interested in? Male Female Where will the puppy be kept? Select One Inside Outside Both Not sure Do you plan on breeding this dog? Select One Yes No If you plan on breeding, at what age and what are your intentions? Type of Dwelling? Select One House Apartment Mobile Home Other Do you rent or own your home? Select One Rent Own Do you have a fenced in yard or suitable pen? Select One Yes No Will there be someone available to feed and exercise the puppy during the day? Explain How many other pets do you own? Are you willing to get annual veterinary check ups and vaccines for your dog? Select One Yes No Are you planning on having this pet on heartworm and flea preventative? Select One Yes No Are you willing to provide any and all proper veterinary and nutritional care that this puppy will require? Select One Yes No What type of food do you plan on feeding your puppy? Do you plan on attending any obedience classes? Select One Yes No Did you ever owned a Great Dane or any other giant breed before? Explain. Are you aware of the costs of caring for a giant breed dog? Select One Yes No Do you agree that dog is a lifetime commitment? Select One Yes No Prospective puppy owners/co-owners: Full name Signature Date Full name Signature Date1 1 Instructions: Save this application to your desktop, type your answers above the lines, put an X in appropriate check box, save your application, and then email it either as an attachment, or go to File-Send-Email-to: munechka@comcast.net, or sign it and fax it to 904-292-1108. --------------- ------------------------------------------------------------ --------------- ------------------------------------------------------------ Completed application should be emailed to: munechka@comcast.net 1