VIPP Dog Training Assistance Voucher Application

Form
VIPP Dog Training Assistance Voucher Application
Helping Vashon Island families keep their dogs in their homes through training

assistance. We offer vouchers up to $300 per family.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of people in the household?
Dog's Name?
Breed or Mix?
Age?
Sex
Spayed/Neutered?
Is your dog vaccinated?
How long have you owned your dog?
Behavior Concerns
Please check all that apply.
If "other", please describe.
Please describe your dog’s biggest behavior challenge.
Safety Questions
Has your dog ever bitten a person?
Bitten another animal?
Been declared dangerous?
If yes, please explain.
Previous Training
Have you previously worked with a trainer?
If yes, whom?
What training have you tried?
Financial Information
Financial reasons for your request
If you do not fit one of the categories above, briefly explain why financial assistance is needed.
This program is intended for Vashon Island residents who need financial assistance.

VIPP will provide a voucher of up to $300 toward a training program for your dog.
Commitment

I understand this voucher is intended to help me begin training with my dog.
If selected, I agree to:
Optional
Would you be willing to share your success story or photos to help VIPP promote this program?
Preferred Trainer
Please choose which trainer you would prefer to work with.
How did you hear about this program?

Other
If other, please share.
Certification
I certify that the information provided is accurate to the best of my knowledge.
Signature
Should be Empty:

Form

VIPP Dog Training Assistance Voucher Application

Behavior Concerns

Safety Questions

Previous Training

Financial Information

Commitment

Optional

Preferred Trainer

Certification