Puppy Questionnaire

If interested in a puppy, please complete questionnaire and push submit.

Please provide the following contact information:

Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Home Phone

E-mail

Website Address

Own your home or rent?

How many adults and children live with you?

Have you ever owned a Dane?

Yes No

Yes No

If yes, give specific information concerning Dane.

If you have not owned a Dane, why do you wish to now?

Do you have a fenced yard?

Yes No

Yes No

Are you looking to show, breed, or find a personal companion?

Describe who will take care of Dane and how many hours the puppy will be alone.

Describe the sleeping arrangements for your Dane.

Use this space for additional information.