Dream Dog Application

ACTS Service Dogs
2928 East Conway Road
Center Conway, NH 03813
603-383-2073

IMPORTANT INSTRUCTIONS: Please read carefully

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You must fill out this entire form in one session. If you leave your form will NOT be saved.

Our Dream Dog program is named in honor of Skye, the first dog released from our training program. With the help of the Make-A-Wish Foundation, Skye found a special home with a young boy battling kidney cancer.

At ACTS Service Dogs, we believe every dog has a purpose and a story to tell, whether they graduate as a service dog or follow a different path.

We invite you to share your story with us as you complete this application. Tell us about yourself, your home, your lifestyle, and what welcoming a Dream Dog into your life would mean to you.

If you are selected to adopt one of our Dream Dogs, your story will become part of their story. The more we know about you, the better we can find the right match.

Our Dream Dogs are not placed on a first come, first served basis. Each dog is thoughtfully matched with the home and family best suited to their individual personality and needs.

Date

Name

First NameLast Name

Preferred Pronouns

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Physical/Shipping Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone

Area CodePhone Number

Home Phone

Area CodePhone Number

Work Phone

Area CodePhone Number

Email

example@example.com

I am applying for

How many people live in your home and what are their ages?

Is everyone in the household in agreement with this adoption?

Does anyone on the household have allergies to dogs?

Do you currently have a dog? If so, what breeds, sex, and ages? Any adopted within the last 2 years?

Do you currently administer or plan on administering monthly heartworm prevention?

Do you currently administer or plan on administering monthly flea and tick prevention?

Do you currently vaccinate or plan on vaccinating your dog/s?

With any of your current dogs or past dogs, what brand of dog food have you feed?

If you currently own a dog: Should something happen to you making you unable to care for or keep your dogs, have you made arrangements for who will care for your dog or dogs? Are your dog/s or any other pets accounted for in your will?

Have you had dogs in the past? If so what breeds and what happened to them?

If you currently do not own a dog but have owned a dog in the past, how long has it been since you owned a dog?

ACTS Service Dogs primarily raises and trains Labrador Retrievers, so most Dream Dogs available for adoption will be Labradors. Are you interested in adopting a Labrador Retriever, or do you have a preference for another breed?

Is there a breed or sex of dog that you would NOT consider?

Do you have a cat?

Do you have other pets? If so what?

How many hours a day will the dog be home alone?

Where will the dog be kept when it is alone?

How energetic can the dog be?

How will you exercise the dog?

Do you have a fenced in yard?

Do you have a dog run?

Would the dog be allowed to run free?

Are you or anyone in your house smokers? If yes, do they smoke in the house or car?

Please give any other additional information that we might find useful in processing this application.

How did you hear about ACTS Service Dogs?

Other (please specify)

REFERENCES

Your references should help us decide if you have the character we require to receive one of our dogs. You should select people who are NOT your immediate family or significant other. References who can specifically speak to you as a dog owner are particularly helpful

First Reference

Name

First NameLast Name

Email

example@example.com

Phone Number

Area CodePhone Number

Relationship to Applicant

2nd Reference

Name

First NameLast Name

Email

example@example.com

Phone Number

Area CodePhone Number

Relationship to Applicant

3rd Reference

Name

First NameLast Name

Email

example@example.com

Phone Number

Area CodePhone Number

Relationship to Applicant

Dream Dog Applicant Acknowledgment and Agreement

By submitting this application, I acknowledge and understand the following:

1. Application and Placement: Submitting an application does not guarantee that I will be matched with or offered a Dream Dog. There is no guaranteed timeline for placement, and dogs are matched based on their individual needs and suitability for each home, not the order in which applications are received.

2. Right to Decline: I may decline any dog offered to me without affecting my eligibility or consideration for future Dream Dogs.

3. Age and Reasons for Release: Dream Dogs are typically released from the ACTS training program between 2 months and 2 years of age. Dogs may be released for various reasons, including medical, behavioral, or other factors that make them unsuitable for service dog work.

4. Disclosure of Information: ACTS Service Dogs will share all known relevant medical, behavioral, and training information about a dog being considered for adoption to the best of its knowledge and ability.

5. Responsible Dog Ownership: I understand that adopting a dog is a long-term commitment. I am prepared to provide a safe, loving home and assume responsibility for all ongoing expenses, including food, veterinary care, grooming, training, and other necessary care.

6. Adoption Fees: I understand that Dream Dog adoption fees currently range starting from $5,000 to $10,000, depending on the individual dog, and are subject to change.

Name

First NameLast Name

Please Sign and Submit

When you click the SUBMIT button, the final version of this form will be sent to ACTS.