Puppy Raiser Application
Thank you so much for your interest!
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Do you have other pets in the house?
Yes
No
If yes, what kinds and how many?
Are there kids in the house?
Yes
No
If so how many?
What kind of fencing/yard containment do you use?
What type of training experience do you have?
What is your goal for becoming a puppy raiser?
How much time are you able to give towards public access and outings?
Please insert your vet contact info
Please list two references with their relation and contact information
Do you understand that the weekly classes are MANDATORY? (missing one or two due to conflicts are okay, but your participation is a direct correlation with the success of your puppy)
Yes
No
Potential schedule conflict, but willing to work around it
Please pick a date that works best for you for a meet and greet/interview. We will contact you to verify the appointment.
Please read through the Contract before signing
Please Sign Here
Thank you for your interest in becoming a Puppy Raiser!
-Averi Gibas and the Unleashed Team!
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