Foster Application


Please note: Although it is unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser)  you may download the PDF version of this application here.  You must have Adobe Reader in order to read PDF Files, this software is available for free here.  You can also e-mail your answers to curthughes@gmail.com.

Fields marked with * are required fields. They must be completed to submit form.

Mailing:                                                                                                                                                                                               

*Name
*Address
Address (cont.)
*City
*State
*Zip

Contact:                                                                                                                                                                                               

*Home Phone

Alt Phone

*E-mail

References:                                                                                                                                                                                          
We would prefer that at least one reference be a neighbor, and that you provide at least 2 references.

Neighbor:

*Name
*Phone
*Email

References:

Name
Phone
Email

Name
Phone
Email

General Questions:                                                                                                                                                                             

Have you ever owned a Dane or other large breed dog?

Yes     No

                                                                                                                                                                                     Do you OWN your home or RENT?

Own
Rent

If RENTER, Landlord's name and phone req'd.

Name
Home Phone
E-mail

Is your yard fenced?

Yes      No

Will the dog be housed indoors?

Yes      No

If answer is no, please describe outdoor facility.


Veterinarian                                                                                                                                                                                        

Name
Phone
Email

Discipline:                                                                                                                                                                                            

What type of discipline do you use with dogs?

Additional Information:                                                                                                                                                                     

Please enter any additional info that you think will help us find the right Great Dane for you.

By submitting this application the applicant certifies that they are at least 18 years old and that all information given is true and correct to the best of their knowledge. Any false or misleading information provided by the applicant shall be cause for rejection of this application.



Revised: 06/11/08