First Name

Last Name

Address 

City   State Zip

Phone Number

Email Address

1. Why have you decided to buy a Great Dane.

2. What breeds of dogs have you owned in the past?

3. A.  Do you currently own any other pets?  YES NO
    B.  If Yes, please let us know if you still have them and if not, why not?

         C.  If Yes, what types, ages and temperament?

          D. Are they spayed or neutered?    YES NO

4. A. Have you ever had to put a pet down (euthanized) ?   YES NO

    B.  If Yes, please explain the reasons:

5.  Gender preference:   NO PREFERENCE MALE FEMALE

     If you have a preference, please specify why:

6.  If the preferred sex is not available, would you consider the other?   YES NO NO PREFERENCE

7.  Are you looking for a young puppy or an older dog ?  YOUNG PUPPY OLDER DOG

8.  What are the main reasons for purchasing a Great Dane? (please check all that apply)

9.  If for breeding, are you aware that the puppy will be sold on a Non-Breeding agreement and Co-ownership pending fulfillment of the criteria as set forth in our Sale Contract ?  YES NO

10.  Do you understand that a pet quality pup is $1500 and a show quality pup can be more and/or have conditions attached to the sale? 

11.  When are you looking to purchase a puppy?    

12.  What color Great Dane are you looking for ?   Blue Black Fawn

13.  Have you familiarized yourself with:

        A.  The care requirements of a Great Dane  YES NO    

        B.  The grooming requirements of a Great Dane   YES NO

        C.  The nutritional requirements of a Great Dane   YES NO

        D.  The attention and love that is required by a Great Dane  YES NO

14.  What problems (health, training, behavior, etc.) have you had with previous dogs?

15.  A.  Are you willing to follow the health guidelines supplied by Fall Hollow Great Danes regarding shots, exercise, feeding, etc....?    YES NO DEPENDS

       B. If no or Depends, please explain :

16.  A.  Are all the members of your family in agreement/committed on getting a Great Dane Puppy?   YES NO DON'T KNOW

       B.  If "No" or "Don't Know", please explain:

17.  Do any members of your family have any types of allergies to dogs?  YES NO

Please Describe your Family............

18.  Number of and ages of children in your household:

19.  A.  Do you live in a (single family house, apartment, condo, etc.)

       B.  If you rent have you checked with your landlord about getting a Great Dane, and will you be able to provide proof of authorization?  YES NO

20.  Is your yard completely fenced with a secure fencing?   YES NO

21.  If not,  would you be willing to do so before bringing home a new puppy/dog or build a secure run for the puppy/dog to be in when not being safely supervised for its safety?  YES NO

22.  Do you have a swimming pool?   YES NO     Is it Fenced ?  YES NO

23.  How will you be housing your Great Dane?  

24.  Is a member of the family home throughout the day?  YES NO

25.  Where would the puppy or dog primarily spend its time?

26.  Where would the puppy/dog be housed during the day if no one is home (i.e. loose in the house, crated, kennel, yard, confined to a specific room)?

27.  How many hours per day will this puppy/dog be left alone?   1-2 2-4 4-6 6-8 9+

28.  Where will the puppy/dog sleep at night (i.e. Loose in the house, crated , kennel, yard, confined to a specific room)?

29.  Have you thought about how you will housebreak your new puppy?

30.  A.  Will you be willing to go to obedience classes?   YES NO

       B.  If no, how are you planning to train you new puppy?

31.  Have you completed any CKC or/and AKC titles on other dogs? If so please describe.

32.  Do you have a veterinarian?      YES NO

33.  May we contact your veterinarian for a reference? (Please provide name and telephone number)      YES NO  

34.  If this puppy is purchased as a family companion and is not going to be bred, do you agree to have it spayed or neutered not prior to 1 year of age and no later than 1 1/2 year of age and submit to Breeder a veterinarian certificate as proof of surgery for our records?  YES NO                           

35.  Have you ever bred a dog/dogs before?   YES NO

       A.  If Yes, please elaborate:

36.  Please list two other references (obedience trainer, other breeder, or person who can verify the suitability of your home for a puppy/dog).

37.  If you have bought other show or companion puppies, please list from whom they were purchased.

38.  If this is a show puppy will you be showing yourself of hiring someone to show?

39.  Are you willing to stay in regular contact with Fall Hollow Great Danes for the life of the dog and provide updates?      YES NO  

40.  How do you plan to get the puppy/dog to you? (pick up, ship, etc)?

41.  How did you hear about our kennel?

Please include any additional information which you feel may better help us to decide the suitability of your home and family for the purchase of one of our Great Danes.