Puppy Raiser Application

The best part of puppy raising is knowing what an impact this dog will eventually have on someone else’s life, enabling someone to have a richer, fuller life. We love to take the puppy out and about in public and everywhere we go. It’s so great to be able to show people what these dogs can do.
~ The Irving Family Puppy Raisers

What level of Puppy Raising are you interested in?

Preferred Name

First NameLast Name

Preferred Pronouns

Address

Street Address

Street Address Line 2

CityState

Zip Code

Mobile Phone

Please enter a valid phone number.Format: (000) 000-0000.

Personal Email

example@example.com

List ages of minor children, under18, living with you.

What other animals are in your house and are they used to strange dogs?

Do you have a fenced in yard?

My Employment

What is your work schedule and hours per week?

Do you own a car?

Can you come to Newtown twice a week for training classes?

Is anyone in your home allergic to dogs?

Tell us about your experience with dogs

Is there anything else you'd like to tell us?

Emergency Contact Name

Emergency Contact Phone

Please enter a valid phone number.Format: (000) 000-0000.

Please do not edit the status & date fields below.

FT Puppy Raiser Status

FT Raiser Applied Date

MonthDayYear

PT Raiser Status

PT Raiser Applied Date

MonthDayYear

Summer Raiser Status

Summer Raiser Applied Date

MonthDayYear

Please verify that you are human