About Us

Application

Complete this form to request your dog to 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:
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(Include Area Code)
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Description of Great Dane, hereinafter referred to as "dog"
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Please provide the breeder information
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(Include Area Code)
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Please provide the vet's information
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(Include Area Code)
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(mm/dd/yy)
Additional information:
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attach photo (Image file) up to 200kb