Facility Dog Handler Application

Dog Care
Who will be responsible for feeding the dog?*
Who will be responsible for grooming the dog?*
Who will be your veterinarian?*
How will you exercise your dog and how often? *
Where will the dog sleep during the night?*
Are you willing to have the dog for extended periods of time if another handler becomes unavailable?*

YesNo
Will the dog go home with you?*

YesNo

I indemnify and hold New Life K9s harmless from and against all claims, losses, and/or liabilities for damage done by the dog to any person or property. I indemnify and hold New Life K9s harmless from and against all governmental charges or fines and attorneys’ fees arising out of the acts or omissions of New Life K9s, including but not limited to interactions with instructors, attendees, incarcerated handlers, involved in instruction and placement.

I acknowledge that the information contained on this form is true and correct to the best of my knowledge. I understand that any misrepresentation of facts may result in the removal of the dog from the facility.

I acknowledge that New Life K9s does not provide financial assistance to clients.
Type Your Name*

First NameLast Name
Facility Handler's Signature*

Clear
Date*

MonthDayYear
Date
Hour MinutesAM/PM Option
Should be Empty:

Facility Information