Adoption Application You must be 25 years of age to adopt a dog. Proof of age is required at time of adoption. Which dog are you applying for? (required) Today's Date (required) Your Email (required) Birth Date (required) First Name (required) Last Name (required) Street Address (required) City (required) State (required) Zipcode (required) Phone Number (required) Drivers License/ID Number (required) Are You Currently Employed Full-TimeEmployed Part-TimeUnemployedStudentRetired Name of Employer Job Title Length of Employment Spouse/Partner First Name Spouse/Partner Last Name Spouse/Partner Employer Spouse/Partner Job Title Lenght of Employment How many adults live in your home other than yourself? List Name and Ages How many children under the age of 18 live in your home? List Name and Ages Does anyone in your household have allergies, asthma, or any type of Blood Clotting Disorder? MeMy SpouseA Child Are all residents in agreement with fostering? (required) YesNo Do You (Select All That Apply) (required) OwnRentHouseCondoMobileApartment Length at Current Address (required) If Less Than 2 Years, Please List Previous Address Previous City Previous State Previous Zipcode Does Your Lease Allow Pets? (required) YesNoN/A How Many Pets Does Your Lease Allow? Does Your Lease Have Any Breed or Weight Restrictions? YesNoN/A Landlord Name Landlord Phone Number Do You Have a Fenced Yard? (required) YesNo If yes, what type of fence and What is the height? Do you plan on Moving in the near future? If Yes, Where and Why? If Approved, I Agree to provide a copy of my lease or a statement from my LandLord stating that there are No Breed or Weight Restrictions YesNoN/A If Approved, I Agree to a home visit via Skype, or in person. This decision is at the Discrepancy of the Rescue (required) YesNoN/A Are you currently working with another Rescue as a Foster, or in the process of Adopting from another Rescue? (required) YesNo If Yes, Please list the name of the Rescue and Current fosters in your household. Have you ever turned an Animal into a Shelter? (required) YesNo If Yes, Why? Is Anyone Home During the Day? (required) YesNo Where do you plan on keeping your Foster Pet while you are at Work or Not at Home? (required) What will you do if your Foster Dog does NOT get along with your current pets? How long will you give your New Pet to adjust to its new home? (required) If your Family Status Changes (new baby, marriage, divorce, job loss, relocation), who would keep the adopted pet? (required) If something happens to you (sickness, death, etc.) and you cannot take care of your pet(s), who will take care of them? (required) When you go on vacation, where will your pet(s) go and who will care for them? (required) What is your estimated budget for Annual Routine Vet Care? (required) What Do You Consider to be Routine Vet Care? (required) Please List Current Veterinarian and Phone Number for a Reference May we contact your veterinarian to obtain information on the Health Care of your Pets? (required) YesNo Please List Your Current Pets Names, Type of Animals, Where Obtained, Age, Spayed/Neutered? Are Your Pets Current with Vaccinations? (required) YesNo If Not, How Come? Are Your Dogs on Heartworm Prevention? (required) YesNo Are Your Pets Microchipped? (required) YesNo Do Your Authorize OZR Great Dane Rescue Inc to Run a Background Check on All Adults in the Home? (required) YesNo Please List 3 Personal References, Include Phone Numbers and Addresses if Available (required) After Clicking the Process Button Below You Will be Redirected to a Payment Processing Page. Application Processing Fee is a Fixed $25 and is not refundable. If Application is Approved, When Adoption Takes Place, Processing Fee Will Be Applied to Adoption Donation. ***APPLICATION WILL NOT BE PROCESSED, AND APPLICANT WILL NOT BE CONSIDERED FOR ADOPTION IF THE PROCESS FEE IS NOT SUBMITTED *** By checking this box, I have read and agree to OZR Great Dane Inc's Adoption Requirements Signature (required) Pay with PayPal