J Cubed Danes Puppy Application
A Little About You
Your Name *
Home Phone *	### - ### - ####
Cell Phone	### - ### - ####
Email
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Occupation
About Your Home and Family
Describe your home	Rent   Own   House   Condo/Apartment
Is your yard fenced? If so, please describe	No Fence   Chainlink   Wood   4'   5'   6'
Do you have a pool?	NoYes
What is your living situation (kids, elderly, other pets)?
May I visit your home or have a friend visit?	YesNo
About Your Puppy
Why do you want a Great Dane?
Do you want a Male or Female? *	MaleFemaleEither
Do you want a Show Prospect or Pet? *	Show ProspectPetEither
Ears *	CroppedNaturalEither or Don't know the difference (it's okay if you don't know!)
Where will the puppy be during the day? Where will it sleep?
Is the decision to own a Great Dane a unanimous one in your family?	YesNo
How many hours per day will the puppy be alone?
Are you willing to take the puppy to one or more of the following classes?	Puppy Kindergarten   Obedience Class   Handling Class
Who is your vet?
Please provide two references (preferably a groomer, boarding kennel, trainer/instructor, previous breeder, etc. Other personal references are acceptable, too)

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