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CaesiaDius Great Danes

Caesia Dius GREAT DANES

PUPPY ADOPTION APPLICATION

NAME

ADDRESS:

Your phone number:

Your email address:

Occupation

Why do you want a
Blue Great Dane?

Male or Female, Why?

How do you plan to
use your puppy?
i.e. Show, Breed, Pet

When would you be
picking up your puppy?

Will you enroll this
puppy in obedience
classes? Where?

Do you understand
limited registration,
spay/neuter
agreements?

Have you ever owned
large breed dogs?

Tell us about your
past pets? What
happened to them?

Please tell us of
children and other
pets in your home?

Please tell us about your
home/house? How long
at this residence?
Is it rural, farm, urban,
fenced yard etc.,
If rented, Include the
contact information for the
landlord.

Where will the puppy
stay when alone?
i.e. Daily when you are
at work or on
vacation?Is someone
home during the day
to get the puppy out?

What kinds of things
are you willing to do to
socialize your new
puppy?

Please tell us how
you plan to housetrain
you new puppy?

Have you ever returned
a puppy to a
breeder/store?
What were the
circumstances?

Have you ever
surrendered a dog to
rescue or a shelter?
What were the
circumstances?

Will you be kennel/crate
training your puppy?

Are you financially
prepared to fund care
for a puppy?
i.e. Vet, shots, food,
and lots of toys?

Are you willing to visit us
in Southern Illinois to pick
up your puppy?

Reference #1

Reference #2

Please provide the
name and address
info of your
veternarian?

Puppy Reservation #
Please enter your choice
for puppy reservation

Please forward your reservation deposit to:

Caesia Dius Great Danes
116 Dorris Drive
Fairfield, Illinois 62837

Checks payable to: Barton DeJarnatt
Please enter an amount below only if you
have mailed your deposit

Deposit amount mailed

"Caesia Dius GREAT DANES" is a Family and home based breeder. We will not "sell" a puppy to just anyone that comes
along. None of our puppies are sold to big breeding operations or puppy mills. We require anyone wishing to adopt one of
our puppies to fill out the application and provide references. These references will be checked to verify suitability of you
home, personality and family environment. We would be very pleased if you already have a veterinarian available to your
family. Great Danes are truly "GREAT" and deserve to live with a family that loves them as we do. We are very excited to
have you join our family of "Great Dane Lovers". Thank You in advance for the commitment needed for adoption of one of
our beautiful puppies.



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