Puppy Raiser Application

Puppy Raiser Application

Apply to become a puppy raiser for our working puppies.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
What is your age?*
What is your current occupation?
Please tell us about your experience with dogs.*
Do you currently have any pets at home?*

YesNo
Please list all pets currently in your household (species, age, temperament). If none, write N/A.*
How many people live in your household?*
Is everyone in your household supportive of raising a working dog puppy?*

YesNoNot sure
Why do you want to become a puppy raiser for working dogs?*
Do you have a preference for the age, breed, or gender of the puppy?*

No preferenceYes, please specify below
If you have a preference for age, breed, or gender please specify.
How many hours per day can you dedicate to caring for and training the puppy?*
Are you able to attend regular training sessions with the puppy?*

YesNoMaybe
Please provide the name and contact information for at least one reference (not a family member).*
Is there anything else you would like us to know?
Should be Empty: