Complete this form to request that your dog be placed into rescue. Please include three photos of your Dane including a head shot.

Please note that our area includes MI, OH, IN, IL, KY, TN, north GA, AL and Ontario, Canada. If you are out of our area, please contact a local rescue.

GDR Inc's coverage area includes Michigan, Ontario, Illinois, Indiana, parts of Wisconsin,, parts of parts of Georgia and Alabama. Please click the link above if you are not in our coverage area.
Contact information of person submitting request:
(Include Area Code)
Description of Great Dane, hereinafter referred to as "dog"
Sex
Please provide the breeder information
(Include Area Code)
Please provide the vet's information
(Include Area Code)
(mm/dd/yy)
Is the dog currently experiencing diarrhea/vomit/gastric upset?
Additional information:
Has the dog been tested for heartworms
Is the dog on HW preventative
Is the dog spyed or neutered
Is the dog microchipped?
Has the dog been bred
Is the dog housebroken
Has the dog been obedience trained
Is the dog good with children
Is the dog good with other dogs
Is the dog good with small animals such as cats
Is the dog crate-trained?
Does the dog have any preferences to
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