Veteran Application Existing Pet

Application for Veterans Who Already Have a Pet

~Please note that we only offer obedience training lessons and coaching. We cannot assist with pets that need behavioral modification~
Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone*

Area CodePhone Number
E-mail*
Tell us about Your Current Dog that Needs Training

NameAgeBreed
What Behaviors do You need Help With?

JumpingLoose Leash WalkingMouthingBarking
Service Information
Branch of Military*
Year (From)

MonthDayYear
Year (To)

MonthDayYear
Attach DD-214 Discharge Form

If you are able, please attach your DD-214. If you cannot attach the form, we will arrange to obtain a copy.
DD-214
Photo Release Approval

We may photograph you & your pet(s) for our records. We may also use these photographs to provide information about our services. I hereby authorize Veteran Canine Connection to publish and reproduce images of me and my pet(s). I understand that participation is voluntary and that I will receive no financial compensation for use of the images. I further agree that images produced in print or website managed by Veteran Canine Connection confers upon me no right of ownership.
By clicking the "Submit" button, I verify all of the above information is true and accurate and I agree to the photo release approval.
Should be Empty:

Application for Veterans Who Already Have a Pet