Surrender Your Dane

FIRST AND LAST NAME

PHONE

ADDRESS

CITY, STATE and ZIP

DOG'S NAME

DOG'S GENDER:

DOG'S AGE

COLOR

HOW LONG HAVE YOU HAD DOG?

SPAYED/NEUTERED?

WEIGHT?

IS THIS A PUREBRED DANE?

IF MIXED, WITH WHAT?

CRATE TRAINED?

CAN YOU DONATE CRATE?

IS DANE GOOD WITH SMALL DOGS?

IS DANE GOOD WITH CATS?

IS DANE GOOD WITH LARGE DOGS?

IS DANE GOOD WITH KIDS?

AGE OF CHILDEN LIVING WITH DOG?

IS DANE OBEDIENCE TRAINED?

ANY BEHAVIORAL PROBLEMS? EXPLAIN IN DETAIL

IS DANE DESTRUCTIVE?

HAS THE DANE BITTEN OR ATTEMPTED TO BITE A PERSON? PLEASE EXPLAIN IN DETAIL:

DOES DANE LIVE WITH ANY OTHER DOGS? LIST BREED, GENDER, AGE:

WHERE DOES THE DOG STAY DURING THE DAY? NIGHT?

IS THE DANE HOUSEBROKEN?

WHAT BRAND OF FOOD DOES THE DANE EAT?

DOES DANE HAVE ANY HEALTH ISSUES? PLEASE EXPLAIN:

VETERINARIAN NAME, ADDRESS, PHONE NUMBER:

IS DANE CURRENT ON VACCINES? WHAT IS DATE OF LAST SHOTS?

IS THIS DANE ON HEARTWORM PREVENTION? IF NOT, HOW LONG HAS IT BEEN OFF?

IN ORDER FOR US TO DETERMINE THIS DOG IS A GREAT DANE, WE NEED AT LEAST TWO FULL-BODY PHOTOS SHOWING THE SIZE AND HEIGHT OF THE DOG.

UPLOAD PHOTO OF DOG

WHY DO YOU NEED TO SURRENDER YOUR DOG?

HOW SOON DO YOU NEED TO SURRENDER?

HOW FAR WILL YOU TRANSPORT THE DOG?

NAME AND CONTACT INFO OF BREEDER?

IS THERE A RETURN CONTRACT IN PLACE?

CAN YOU PROVIDE A DONATION TO OFFSET RESCUE EXPENSES?

I agree and understand that if Northwest Florida Great Dane Rescue chooses to accept into the rescue the described dog, that I am giving up all rights of possession and ownership of the dog. I agree and understand that by signing this document, this dog will become the sole property of Northwest Florida Great Dane Rescue.

I promise that the information I am giving is truthful and accurate, and that Northwest Florida Great Dane Rescue will not be held liable or chargeable for any false information or misrepresentations that I may have submitted on this form.

I further agree and understand that Northwest Florida Great Dane Rescue will do whatever is necessary for the safety and well-being of this dog.

TYPE YOUR FULL NAME AS SIGNATURE HERE

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You should receive a "Thank you for submitting" notice once you click the submit button. If you don't, then the application did not submit.

If you have not received acknowledgment from NWFLGDR within 48 hours of your application submittal, please email nwflgdr@gmail.com to confirm your application was actually received.