Adoption Application Don’t want to fill it out online? Download the PDF Contact InformationName* First Last Full Name*Occupation*Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How long at this address?*Daytime Phone*Evening PhoneBest time to call*Email address* Family & HousingDo you have experience with Great Danes?*ie, a Great Dane you have owned and cared for as an adult. Choose No if you grew up with danes but have not owned one as an adult.YesNoHow many adults are there in your family (their relationship to you)?*How many children (ages)?*What type of home do you live in?*Single familyTownhomeApartmentFarmOtherPlease explain*Please describe your household.*ActiveQuietNoisyAverageDo you rent?*YesNoPlease give the rules governing pets.*Landlord's Name*Landlord's Phone Number*By providing this information you are allowing ODAAT to contact your landlord. Please inform them of this call so they will speak with us.Does anyone in the family have a known allergy to dogs?*YesNoIs everyone in agreement with the decision to adopt a dog?*YesNoDo you have time to provide adequate love and attention?*YesNoOther PetsWhat other pets do you have (specify breed and age)?*Are these pets up to date on vaccines?*YesNoNot ApplicableAre these pets spayed/neutered?*YesNoNot ApplicableWhy not?*Have you ever surrendered a pet?*YesNoPlease explain.*Have you ever had a pet euthanized?*YesNoPlease explain.*Have you ever lost a pet to an accident?*YesNoPlease explain.*How do you discipline your pets and why?*VeterinarianDo you have a regular veterinarian?*YesNoVeterinarian’s name*Clinic NameClinic Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Clinic Phone Number*By providing ODAAT with this information you are allowing ODAAT to call your vet. Please call your vet and authorize the release of information to us.About the Dog You Wish to AdoptIs there a particular ODAAT dog you're interested in adopting?See our list of available Great Danes here.What is your idea of an ideal dog and why?*Desired age*Desired Size*Desired breed*Breed you would not adopt*Desired sex*Spayed FemaleNeutered MaleNo PreferenceWilling to adopt...* outgoing/hyper dog shy dog dog that needs regular medication dog that needs training dog that needs grooming none of these Where will the dog spend the day? (describe)*Where will the dog spend the night? (describe)*Number of hours (average) dog will spend alone?*Who will have primary responsibility for this dog's daily care?*Who will have financial responsibility for this dog?*Do you agree to provide regular health care by a Licensed Veterinarian?*YesNoDo you agree to keep the dog as an indoor dog?*YesNoWhen the dog goes out, how do you plan to supervise it? Fenced yard?*Do you agree to contact ODAAT if you can no longer keep this dog?*YesNoAre you be willing to let a representative of ODAAT visit your home by appointment?*YesNoHow did you hear about ODAAT?*Would you be interested in fostering?*YesNoWould like to know morePersonal ReferencesPlease list someone who is familiar with both you and your pets.Reference #1 Name*Reference #1 Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reference #1 Phone Number*Reference #1 Relationship (relative, neighbor, friend, etc.)*Reference #2 Name*Reference #2 Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reference #2 Phone Number*Reference #2 Relationship (relative, neighbor, friend, etc.)*All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed veterinarian. In the event that I must rehome the dog, I fully understand that the dog MUST be returned to ODAAT or legal action will be taken. Adoption Fees are as Follows:Puppies under a year of age: $600 Adults 1 – 6 years of age: $450 Seniors 6 and over: $300 All dogs come fully vetted, vaccinated, microchipped and spayed/neutered.Electronic Signature*Today's Date* Date Format: MM slash DD slash YYYY Application Fee*The application fee will go towards your adoption fee if/when you are matched with a dog. Price: $50.00 Total $0.00 CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.