Adoption Application

Great Dane Rescue of El Paso
P.O. Box 290567
El Paso, TX 79924
915-852-3462

Your honest and complete answers will help us find the best possible match for you and your family.

All information given will be randomly researched.

We believe that a pet is a life-long commitment, meaning that you will commit to the pet you adopt from us for the rest of that pet's life.

If an answer does not apply please type 0 (zero) or NA. We ask that you provide an answer for every question.

Adoption Application

Name*:
Birthdate*:
Driver's License Number and State*:
Home Phone*:
Cell Phone*:
E-mail Address*:
Occupation*:
Employer Name*:
Employer Address*:
Employer Phone Number*:
Spouse's Name*:
Spouse's Occupation*:
Spouse's Employer Name*:
Spouse's Employer Address*:
Spouse's Employer Phone Number*:
Number and Ages of Children*:
Does the entire family want this dog?:
Does the entire family plan on participating in this dog's care?:
Where will this dog be spending a majority of its time?*:
How many hours a day will this dog be left alone?*:
When left alone, where will this dog be kept?*:
Home Addresss*:
Do you own or rent your home?:
If renting, are there pet breed or weight restrictions?:
Landlord's Name*:
Landlord's Phone Number*:
How long have you lived at the above address?*:
If less than 5 years, please list previous address.*:
Do you have a fenced yard?*:
Please describe yard and fence.*:
Have you ever owned a dog before?:
Please list all pets owned in the last 5 years living (and age) deceased (and cause of death) or rehomed (and reason):
Are your current pets up do date on vaccinations and heartworm preventative?:
Are your current pets spayed or neutered?:
Veterinarian Name (Please call your vet and give permission for us to call in reference to your previous and current pets)*:
Veterinarian Address*:
Veterinarian Phone Number*:
Are you aware of the yearly cost of maintaining a dog?:
How much time are you willing to spend daily on the dogs walks, playtime, and socialization?*:
Are you prepared to take the dog to obedience training?:
Do you travel frequently?:
If so, how will the dog be cared for in your absence?*:
What would happen to the dog if you had to make a long distance move?*:
Do you have any further comments on why you want to adopt a dog?*:
Personal Reference Name*:
Personal Reference Phone Number*:
Personal Reference Relationship to Applicant*:
Signature (Typing your name here acts as an actual signature. Falsehoods will be grounds for reposession of the dog adopted)*:

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