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Great Dane Rescue of AZ Alliance   •   623-869-0409   •   greatdanerescueofazalliance@hotmail.com
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APPLICATION TO ADOPT
PERSONAL AND HOUSEHOLD INFORMATION
Name
Address
City, State, Zip
Daytime Phone
Evening Phone
Email Address
   
How many people live in your household?
If you have children, list their age(s)
   
What type of home do you live in?
Do you own or rent?
If you rent, please provide your Landlord Name and Phone Number Name:

Phone:

Do you have a fenced yard?
If so, what type of fence?
Do you have an in-ground pool?
If so, is it fenced?
   
 


PET OWNERSHIP INFORMATION
What dog are you applying for?
   
Where will this dog be kept during the day?
Where will this dog be kept during the night?
How many hours will this pet be left alone each day?
Do you currently have any pets?
If Yes, please provide the following information:  
 
Your Current Pets Type (dog, cat, etc.) Breed Gender Spayed / Neutered? Age
           
Pet #1
Pet #2
Pet #3
 
Do you currently have a Veterinarian?
If so, please provide your vet's name and phone number: Name:

Phone:



Additional comments or questions:

 

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(Hint:  it's a Great Dane)