J Cubed Danes Puppy Application

A Little About You

Your Name *
Home Phone *

Cell Phone

Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *

About Your Home and Family

Describe your home
Is your yard fenced? If so, please describe
 No Fence 
Do you have a pool?
What is your living situation (kids, elderly, other pets)?
May I visit your home or have a friend visit?

About Your Puppy

Why do you want a Great Dane?
Do you want a Male or Female? *
Do you want a Show Prospect or Pet? *
Ears *
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?
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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