Screening Form Page

***If placing an early deposits you must FIRST READ our early deposits page AT THIS LINK BELOW


Copy And Paste Screening Form

1)Using the left click button on your mouse highlight the entire puppy buyer screening form.

2) Either go to your edit button at the top of the page and click copy OR hold down your Ctrl button located at the lower left hand corner of the keyboard and hit the c key to copy.

3)Open my e-mail address located at the bottom of the page. Then either go to edit button again and click on paste OR hold down the Ctrl key again and press the v button.

Puppy Buyer Screening Form

(Mom): Full Name:

(Dad) Full Name:




Zip Code:

Phone (home):


Can you get texts?

e-mail address:

Name, address and phone number of your veterinarian:

Please Continue

Have you read and understood how the early deposits list works? (This is required before placing a deposit)

Will the puppy be an inside dog?

What breeding (which parents) or which puppy are you interested in?

What color puppy are you most interested in? Blue, Blue Harlequin, Blue/Silver Merle, Blue Fawn

If the litter of your choice does not produce a puppy of the desired color, then would you be interested in a puppy of another color, if available? What color or colors would you be interested in as a 2nd choice?

Are you interested in a male or female puppy?

If the litter of your choice does not produce a puppy of the desired sex, then would you be interested in a puppy of the opposite sex if available?

If the desired sex or color is not produced and you do not want the oppisite sex, or a different color, do you understand that your deposit will be transfered to the next available litter of your choice?

What type of temperament are you looking for in your puppy. Outgoing, Forward, Laid Back, Docile, Independent, Attached...

What type of head piece are you looking for...Lots of skin, tight skin, thick boxy head (Euro look), sleek aristocratic (American look), or what combination do you like best list in order of importance...

Which of these physical qualities are most important to you...list in order of importance...head piece, height, mass, color ?...

What overall qualities are you looking for in your puppy? List from most important to least important. Height, Mass, Conformation, Color, Temperament, Energy Level, Head Type...

What do you expect the activity level of this breed to be once maturity is reached: very high, high, moderate, below average...

What activity level do you prefear to have in your new puppy: very high, high, moderate, below average...

Do you intend to have your puppies ears cropped?

Do you understand that we require ALL crops to be done by our vet unless you can provide picts of crops that your vet has preformed on a Great Dane pup, and that I must approve of it?

Do you understand that we REQUIRE ALL pups that have a crop (with any vet) to use the Quick Brace System, or similar method for the stance process?

Do you understand that if you use a method similiar to but not the quick brace system you must submit picts for approval to use this method?

Will you want your puppy shipped or will you pick up your puppy?(I like to send my puppies home on the first Friday AFTER they have turned 8 weeks)

Who will be the primary care giver?

Where will the puppy be kept during the night?

Where will the puppy be kept during the day?

Is anyone home during the day?

How many hours on the average will the puppy be left alone?

Will there be someone available to feed and exercise the puppy during the day?

Have you ever owned a dog before?

Do you have any other pets? How many? What breeds?

What energy levels are your current pets? Tell me a little about their personalities (domanate/timid/laid back/enerjetic/food aggression/plays well with others, or not :)...

What are their ages? Their sexes?

Do you have any children? If yes, what are their ages.

If you were to have an expected or unexpected child during any phase of the life of your new Great Dane would you feel the need to find him/her a new home? if so why?

Does anyone in your household have allergies to animals?

If yes, to what and how severe?

Do you understand that a Great Dane Puppy will have High Energy until at least 1 year of age and up to 3 years of age?

Are you prepared for the energetic and curious nature that the puppy stage of this giant breed offers?

How did you hear about this breed?

Why a Great Dane?

How many hours a day will the puppy be kept outside?

How will he be confined when he is outside?

Do you have a fenced yard or suitable pen?

Where will your puppy stay while inside, if you are not available to watch him/her?

Have you ever house trained a dog before?

How do you intend to housebreak your puppy?

Do you have or have you ever had an outside dog and why?

Will you be attending any training classes?

If yes, at what age will you start, which activities or competitions are you interested in, who is the trainer?

Have you ever returned a pet to the breeder? If so, what were the circumstances?

Have you ever given a pet away? If so, what were the circumstances?

Have you ever taken a pet to a pound or shelter? If so, what were the circumstances?

Have you ever had a behaviour problem in one of your pets?

What was it?

How did you handle it?

Are you interested in a limited registration or a full registration?

Do you understand the difference between a limited registration and a full registration?

Do you understand that by placing a deposit on an un-born litter you are taking the risk of not getting the desired puppy in a specific time frame, if either the desired sex is not produced or if the litter does not take, (as these events are out of my control) then you will have to wait until an alternate litter of your choosing has been born. And that I also cannot guarantee how many litters it will take to produce the desired puppy.

Do you understand that your deposit will only hold your puppy through 8 weeks of age, and that we will not hold your puppy longer than this, (for the bonding process it is best to get your puppy as close to 8 weeks as possible as their minds open up for bonding at 6 weeks of age) and if you cannot get your puppy at 8 weeks that you will need to wait on a different pup?

do you understand that in very rare cases where we will keep your puppy past 8 weeks of age there is a 150$ per week boarding charge, and full payment of the puppy and boarding fees are to be paid by the time the puppy is 8 weeks of age, and that is you decide not to get the puppy, for any reason, that no money will be returned?

Do you agree to keep the dog on heart worm preventive?

Do you agree to keep the dog on flea care?

Do you agree to keep the dog on a high quality dog food for its entire life.

We require 1st time Dane owners to take the puppy to puppy classes, and we recommend this for all puppy buyers.... if you are a first time Dane owner, do you agree to this?

Do you understand that the dog is to be an inside dog only?

Do you understand that once you place a deposit, it is absolutely non-refundable.

Do you understand that any money received is non-refundable and will only go toward the purchase of your puppy, which will be honered indefinitely but not re-funded for any reason even if you decide not to purchase a puppy.

Do you understand that you may never sell or find a new home for the puppy or adult...if the placement does not work for any reason he/she will come back to me, at Buyers expense.

Do you understand that I can void this contract and refuse to sell you a puppy for any reason I feel is nessassary, to include but not limited to distrust of your intentions toward my puppy or breeding lines and no money will be refunded.

Do you agree to not abuse or neglect this dog, and that if at any time I the Breeder believes this dog is abused or neglected or if you break this contract, that I have the right to repose the dog and that you agree to not seek legal damages against me the breeder or cause the me the breeder legal expenses.

***Do you agree to not fix your new puppy before 9 months of age, as this can lead to bone cancer and many other problems and will void the health guarantee. Vets are trying to fix pups at 3-5 months now which is fine for smaller breeds but NOT Great Danes!!!

Do you agree to not for any reason cause legal damages against me the breeder.

Do you understand that this form will act as a binding document of agreement.

How did you find my site?;;;;;

Section 2: STOP HERE if you are looking for limited registration only.

For Full Registration/Breeding/ or Show Homes Continue On

Do you intend to breed the dog?

Do you understand that we require all of our puppies to be registered with our kennel name "Night Magic" to be included in their registered AKC name ? ex Night Magics Jezebell, ex Night Magics Perfectly Picasso...

Have you ever had a litter of puppies before? what breed?

Are you interested in showing the dog in the conformation ring?

Have you ever shown a dog to it's championship?

Are you interested in competition in performance events such as obedience, agility, hunting, herding, etc.?

Have you shown a dog to any performance titles?

Where are your breeding dogs kept? or where do you intend to keep them?

How many other breeding dogs do you have? Ages? Sexes? or how many do you intend to have?

How many litters a year do you have? or how many do you intend to have?

What is your set up for breeding dogs, and raising puppies? or what will your set up be?

Do you agree not to breed a female before her 2nd heat or 18 months of age?

Do you agree not to breed your female past 5 years of age or 4 total litters ?

Do you agree to have your female fixed after her last litter?

Do you agree to have your male fixed by 7 years of age to prevent testicular cancer? (a leading cause of death in intact males over 7)

How do you choose your puppy owners?

Will you sell a puppy to owners, if it is to be an outside dog?

Do you understand that my puppies and grand puppies are to only be sold as inside pets?

Will you sell your puppies on limited and/or full will you decide if a puppy should be sold on limited or full reg?

Do you understand that all puppies produced by you out of any of my lines are to be sold on limited registration unless they will also agree to the terms in this full reg. contract? to be inside dogs only, to be fixed after the fourth litter for females and to be fixed at 7 for males, and for puppies to be sold on limited reg unless these terms are agreed to? (I take my lines and all puppies produced because of me very seriously, as Great Danes are a Giant breed that take giant responsibility to ensure they are loved an cared for the way all babies (esp. the ones brought into the world by us humans) should be cared for.

Do you have a suitable stud/bitch for breeding to this puppy...if so please supply a pedigree, or list parents and grand parents on both sides...

Would you be interested in using one of my studs, if buying a female puppy?

Are you interested in co-owning a dog?

Would you be interested in my help with selling your planned litters?

Please provide at least three to five 3-5 different references from past puppy owners who have come to your house and seen your dogs and set up. I will need only telephone numbers.


Do you understand that this form will act as a binding document of agreement.

Most of these question are just to insure proper placement of the proper puppy in your home, as well as some ideas on how the puppy should be handeled while with me, to insure an easier transition into your home.


Ann L. Simpson

Night Magic Danes


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"He is your friend, your partner, your dog.
You are his life, his love, his leader.
He will be yours, faithful and true to the last beat of his heart.
You owe it to him to be worthy of such devotion."