Canine Angels Puppy Raiser Questionnaire

Name

First NameLast Name

Name of Co-Raiser

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone #1

Area CodePhone Number

Phone #2

Area CodePhone Number

Email

example@example.com

Do you have access to an elevator nearby?

YesNo

This is a family decision that requires the understanding and support of everyone living in the home. Have you discussed puppy raising with each of them and that they will need to follow certain guidelines?

YesNo

Have they agreed to support you and the program?

YesNo

Type of residence

Do you own your home?

YesNo

If you rent, do you have your landlord's permission?

YesNo

Landlord's name

First NameLast Name

Landlord's phone number

Area CodePhone Number

Size of yard

Is your yard fenced?

YesNo

Type and height of fence?

Your occupation

Partner's occupation

Are you in school?

YesNo

Can you bring your puppy to work or school?

YesNo

Will someone be able to stay home with the puppy most of the time?

YesNo

Where will the puppy be when you're not home? Please explain in detail.

How long, on average, will the puppy be alone per day?

What is your dog experience (include information on your past dogs)?

Have you taken training classes before?

YesNo

What was the training methodology used?

Please list the names, relationships, and ages of everyone who lives in your home.

Please list all of the pets in your home and livestock including breed, age, and neuter status.

Vet's Name

First NameLast Name

Vet's Phone

Area CodePhone Number

You'll have to give up your puppy for advanced training when s/he is between 12-18 months old OR if you do not care for the puppy properly or follow the puppy raiser guidelines?

Yes, I understand

Are you willing to make that long of a time commitment?

Yes

You must follow CAST guidelines or we may ask for the dog back at any time. Some of the guidelines are:

Taking care of all of the animal's needs, such as: food, water, shelter, medical needs, love and attention.
- The dog is to be with you and indoors as much as possible (these pups are not outdoor dogs).
- Being committed to socializing the pup to different people, animals, and environments.
- You must take the pup to basic obedience classes, and crate train him/her.
- You must stay in contact with us on a monthly basis through the puppy reports and emails.
- You must keep your contact information current and respond to us when contacted.

NOTE: Staff is always there to support and assist the puppy raisers through the hard times as well as wanting to share in the good times. We strive to achieve open communication at all times. Please feel free to contact us with questions about raising your pup or program policies.

You are responsible for initially picking up your pup and then returning your pup for advanced training. We are based in Grants Pass, Oregon, but pick up and return locations may vary. Are you willing to arrange and cover the costs for this?

Yes

Some of the expenses that Puppy Raisers are responsible for are: quality food, vaccinations, medical bills, monthly flea and heart worm prevention, micro chipping, a dog crate, training classes, and travel costs. These are part of the puppy raiser obligations. Are you will to provide these necessities?

Yes

I understand that it is my obligation to spay/neuter my puppy in training if he or she is not chosen for the breeding program, but that I must wait to get approval from CAST personnel before doing so.

Yes

Additional comments?

How did you hear about Canine Angels?