Name:(First and Last)
Email Address:
Street Address:
Address cont.
City:
State, Zip:
Country
Home Phone Number
Cell Number:
Work Number:
Age:
Which do you prefer:
Which do you prefer
Which do you prefer
Who will be the primary caregiver of the puppy?
How long will your puppy be home alone per day?
What is your profession?
Are there children at home? IF so, how many and what ages are they?
Do you understand that while this breed is good with children, they should never be purchased as the responsibility
of the children?
Yes
No
What is your residential situation? (own, rent, condo etc)
If you rent do you have your landlords permission to have a giant breed dog?
Landlords name and phone:
What is the size of your yard?
Is your property fenced? IF yes, What type of fence? And Tall?
Are all of the gates secure/locked?
Yes
No
Have you considered the cost of improvements necessary to have a secured yard for the puppy?
Yes
No
Do you or anyone in your household have any physical problems that may hamper your ability to train and care for a giant breed dog? IF so, please elaborate
Where do you plan on keeping your Great Dane during the day and at night?
What type of vehicle do you have to transport a Great Dane?
Please list any other animals you own. Be sure to include the type, breed, age, and how long you have owned them.
What training have you done with previous pets?
There are pros and cons to every breed. Has anyone ever explained the negative points of the breed? ( Drool, Tail clearing a table, everything is XL –
Crates, Food Bills, Vet Bills etc.)
Early and extensive socialization is key in the development of a well balanced Great Dane, are you and your family
willing to commit to the time and effort to the early socialization of a puppy? Including puppy and obedience classes?
Do you have any problems with a spay/neuter contract and limited registration?
YES
NO
Are you interested in participating with your Great Dane in
Tell us what you expect from us, the breeder.
Tell us why you are interested in Great Danes
What kind of research have you done on the breed?
(Health, Temperment, Bloodlines, Pros & Cons, etc.) Please explain.
What are you planning on feeding your Great Dane?
Are you willing to leave your pet/companion ears uncropped?
If not, do you realize the time, care, and effort it takes to post cropped ears to get them to stand correctly. Sometimes up
to a year. And there is still no guarantee they WILL stand.
Are you willing to spay/neuter your puppy before the age of 18 months but not earlier than 15 months? Regardless what your veterinarian recommends?
Yes
No
Please provide three references (one being your veterinarian and 2 being non relative) and their contact information
How did you hear about us?
Feel free to tell us anything else you would like us to know or if you would like to elaborate on any of the questions from above.
OK your turn. Do you have any questions for us?
By submitting this form to Winners Circle Kennel, I acknowledge that there are no false statements or omissions in this
application. Any false statements or omissions will void any other contract with Winners Circle Kennel, and ownership of
the animal will revert back to Winners Circle Kennel in full, with no compensation.
Signature (s) :