Occasionally a Southern Pines Family Dane is returned to us. If you would like to be placed on a waiting list, please fill out this form - please keep in mind that the more specific you are, the harder it will be to place a Dane with you. Older Danes need homes too and can provide years of companionship.

IN ORDER TO BE CONSIDERED AS AN ADOPTER, YOU MUST:

Have the knowledge and consent of your landlord.
Be 21 years of age or older.
Have a picture ID showing your present address.
Be able and willing to spend the time and money necessary to provide training, medical treatment, and proper care for a pet.

***Southern Pines Family Danes reserves the right to refuse adoption to anyone. No animal will be adopted to prospective owners who mislead or fail to provide accurate information on the questionnaire.

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Email *

Veterinarian Information *

Name

Veterinarian Phone *

Have you ever owned a Giant Breed dog before? *

Yes

Do you have other pets in your home? *

Yes

If yes, please list Pet Type, Age, Gender, Indoor/Outdoor

Do you: *

Own Home

Rent Home

If you are renting, does your landlord allow pets?

Yes

I don't know

Are you ready for the 10-15 commitment a Great Dane will require? *

Yes

Do you have children in your home? *

Yes

If yes, please list Name, Gender & Age of all children in your home:

Where will your Dane be kept Day & Night? *

How many hours will your Dane spend alone without companionship? *

Do you have a fenced yard? *

Please add additional information if you do not have a fenced yard.

Age: *

A Dane of any age will fit into our home and lifestyle

Senior (age 6 and older)

Adult (age 3-5)

Young Adult (18 months-36 months)

Adolescent (6 months-18 months)

Puppy (less than 6 months) *rare

Gender *

Either

Male

Female

Do you have additional questions or additional information about yourself?

MEDICAL RELEASE

MEDICAL RELEASE *

By checking here, I certify that the above information is true and correct.

LIABILITY RELEASE AND WAIVER FORM

LIABILITY RELEASE AND WAIVER FORM *

Yes, I accept this waiver and release Southern Pines Family Danes from all liability

No, I am not interested in pursuing this application further.

Thank you!

Your form was submitted successfully.

We will reach out to you if we have a suitable Great Dane for you.

Southern Pines Family Danes

Located in beautiful Bon Aqua, Tennessee

615-934-9158

info@southernpinesfamilydanes.com

“The Journey of Life is Sweeter when Traveled with a Great Dane”