First Name: Last Name: Address: City: State: Zip Code: Phone Email Address:   Occupation Company Name Address City State Zip Phone How long have you been employed with this company?   Do you have a Veternarian? Yes No Name Address City Phone   Do you have children in your household? Yes No If you checked yes what are their names and ages?   Do you have any other pets? Yes No What are the breeds and ages?   Have you ever owned a Great Dane before? Yes No   Why did you choose a Great Dane?   Do you have a fenced yard? Yes No What kind of fencing?   Do you have a preference in the sex of your puppy DogBitchNo Preference Do you have a color preference? FawnBrindleNo Preference Do you plan to crop? Yes No   Do you want to show your puppy? No Conformation Obedience Other   Where will the puppy sleep?   Will the puppy have a crate? Yes No   How many hours per day will the puppy be on its own? During this time where will the puppy be?   Comments Security code:   * Do not enter anything in this field: