First Name:  Last Name:

Phone: (example 3785554444 ) What is the best time to reach you?

E-mail: 

Mailing Address:  City: 

State:  <-Select-> Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip: 

Marital Status: Select Single Living with someone Engaged Married Divorced Widowed Age: Select 18 - 24 25 - 34 35 - 44 45 - 54 over 55

If you are engaged, when is your wedding planned? Select within 6 months 6 months - 1 yr 1 yr - 2 yrs No date at this time

Have you ever owned a Great Dane? Select Yes No

If yes, when and where/who did you get it from?

In what time frame are you looking to purchase a puppy? Select I want one now I want to find a breeder, then wait for a puppy within the next 2 months within the next 4 months within the next 6 months I want a puppy for X-mas Waiting til summer

What is the price range you are looking for? Select No more than $500.00 $500.00 - $800.00 $800.00 - $1000.00 $1000.00 - $1200.00 $1200.00-$1500.00 I'm looking for a quality bred puppy and already know the general price range

What is your preference for a Dane's ears? Select My puppy must have natural ears It doesn't matter either way is fine My puppy must have cropped ears

Do you own or rent your home?

How long have you been at your current address?

Do you have a fenced yard (if so how tall is the fence)?

Do you have children (if so what age)?

Are you looking for a pet companion or a show companion?

If we only had show pups available, would you consider showing this puppy? Select Yes No Possibly, with more info

Are you interested in a male or female? Select Male Female

Which color do you prefer? Select Black Blue Either Color

Would you be interested in an older puppy or adult?

Do all household adults work outside the home? Select Yes No

If Yes, approx. how long will puppy be home alone?

If puppy will be left for more than 4 hrs, will someone be able to take your

puppy out for a potty break mid-day? Select Yes No If Yes, who? Select I go home at lunch Household Member Family Member Friend Neighbor Prof. Pet Sitter

Where will the puppy stay when left home alone? Select Outside Garage Free run in Home Gated off Room Crated In Home Dog Daycare

Do you plan to Crate train your puppy? Select Yes No

If No, why? Select Crates are cruel Puppy will never be alone Puppy will be in a gated room Puppy will be an outside dog Puppy will stay in garage

Where will puppy sleep? Select Outside Garage Inside-Crated Inside-Gated off Room Inside-Free to roam In my Bed

Are there other pets in your home? Select Yes No If yes, what type of pet(s) and are they spayed/neutered?

Why have you decided to add a Great Dane to your family?

Are you prepared to follow the specific instructions from Trajon Great Danes regarding the diet and vaccinations of your new puppy EVEN if it goes against your veterinarian's instructions/suggestions/opinions? Select Yes, I am I'm not sure, and need more info No How many waiting lists are you currently on with other Great Dane Breeders? Select Just your list 1 other waiting list 2 other waiting lists more than 3 lists If the puppy that is available is of show quality at the age of 6 months, would you be willing to show? Select Yes No I don't know If the puppy is of show quality, and you do not want to show, would you be willing to allow us to show the puppy? This would mean you would bring the puppy to the show, or make arrangements for the puppy to travel with us on weekends that we would be showing. Select Yes No, I just want a pet companion Have you ever surrended a pet to a Shelter, Rescue, Breeder, or re-homed it yourself? Select Yes No If Yes, which? Select Animal Shetlter Rescue Breeder We re-homed our pet If Yes, Please give the reason why in detail. Do you know where your local AKC Kennel Club holds obedience classes? Select Yes No Have you ever taken a puppy to Obedience classes before? Select Yes No   List your current and past veterinarian names, addresses, and phone numbers: Current Veterinarian: (If you do not have a current vet, list your future veterinarian) First name: Last Name: Clinic Name: This is my: Select Current Veterinarian Future Veterinarian Phone Number: email: Mailing address: State:  <-Select-> Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip:  Years used: Select less than 1 yr 1- 3 years 3 - 10 yrs more than 10 yrs Past Veterinarian: First name: Last Name: Clinic Name: Phone Number: email: Mailing address: State:  <-Select-> Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip:  Years used: Select less than 1 yr 1- 3 years 3 - 10 yrs more than 10 yrs   List 2 personal references who are not related to you. (i.e. neighbors, co-workers, pet sitters, etc..) Include your references names, addresses, and phone numbers. Please use the space below to tell us about yourself, your family, or add any additional comments that you would like us to know.