About Us

Application

Complete this form to request your dog to be placed into rescue.

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

GDR Inc's coverage area includes Michigan, Ontario, parts of Wisconsin, Illinois, Indiana, parts of Ohio, parts of Kentucky, Alabama and parts of Georgia. If you are not in our local coverage area, please visit the link above to locate your local rescue.
Select your location within our coverage area *REQUIRED*
Contact information of person submitting request:
Owner Name *REQUIRED*
Street Address *REQUIRED*
City, State & Zip *REQUIRED*
Email *REQUIRED*
Work Phone *REQUIRED*
(Include Area Code)
Home Phone *REQUIRED*
Description of Great Dane, hereinafter referred to as "dog"
Registered Name *REQUIRED*
AKC Number *REQUIRED*
Call Name *REQUIRED*
Sex
Age *REQUIRED*
Color *REQUIRED*
Please provide the breeder information
Breeder Name *REQUIRED*
Organization *REQUIRED*
Street Address *REQUIRED*
City, State & Zip *REQUIRED*
Email *REQUIRED*
Work Phone *REQUIRED*
(Include Area Code)
Home Phone *REQUIRED*
Website URL *REQUIRED*
Please provide the vet's information
Name *REQUIRED*
Street Address *REQUIRED*
City, State & Zip *REQUIRED*
Email *REQUIRED*
Work Phone *REQUIRED*
(Include Area Code)
Date of current shots *REQUIRED*
(mm/dd/yy)
Additional information:
Has the dog been tested for heartworms
Is the dog on HW preventative
Is the dog altered
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?
List any known habits the dog has *REQUIRED*
Does the dog have any preferences to
If the dog has ever bitten a person or another animal, please give details below *REQUIRED*
Does the dog have any known allergies or medical conditions *REQUIRED*
Reason this dog is dog is being surrendered *REQUIRED*
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