Puppy Application - Coleridge Blue Great Danes

Your Name *

First

Last

Your Email Address *

Email

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Is this your work or home email address?

Home Phone

Cell Phone

Work Phone

Your Home Address

Address Line 1

Address Line 2

City

State

Zip Code

Occupation / Employer

What gender and quality are you interested in?

Have you ever had a Great Dane? If so, please give dates.

If so, what happened to the Dane(s)?

Do you rent or own a house, condo or apartment?

Do you have children living in or visting your home? If so, please indicate how many and their ages.

Have you shown any dogs in AKC events?

If yes, please explain; include titles, points progression, etc.

Have you had or have other pets?

If yes, please list species, breed, sex, age, and spayed/neutered.

Include what became of them.

Do you have a veterinarian? If so, please give name, address and phone number.

May we contact them for a reference?

How many hours per day will the animal be left alone?

Where will the animal be during the day?

Where will it sleep?

Is your yard fenced?

Do you have a swimming pool and will your dog have free access?

Are you aware of giant breed health issues?

Are you willing to follow our instructions regarding vaccination protocol/feeding/exercise?

Why do you want to own a blue Great Dane?

Please furnish at least three references, preferably breeders, handlers, and neighbors, including address and phone number.