Guardian application form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Emergency contact
*
Name
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
*
-
Area Code
Phone Number
Do you have any intention of moving more than an hour from your current location in the next 5 years?
*
Yes
No
Other
What initially attracted you to the guardian program?
*
Preferred sex of guardian dog:
Male
Female
Either
Preferred size of guardian dog:
Miniature (35-42cm shoulder to ground, 7-13kgs)
Medium (43-52cm shoulder to ground, 13-23kgs)
Standard (53-63cm shoulder to ground, 23-30kgs)
No preference
Please add colour preferences if you wish, bearing in mind that colour aesthetic is one element of guardian selection.
Where will the dog live? (e.g. inside, outside, combination?)
*
Do you have a secure yard for the dog to be contained in?
*
Yes
No
Other
Do you intend to take the dog to obedience school? (highly recommended, and reimbursed by Bluefields)
*
Yes
No
Other
Do you commit to providing the dog with a range of safe social experiences?
*
Yes
No
Other
Do you agree that you will be contactable within a reasonable time frame when needed, eg. within 24 hours?
*
Yes
Submit
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