Puppy Parent Application

Puppy Parent Application
As Puppy Parent, you will need to teach our dog to live as a part of a family. Taking the dog with you when you go out will ensure they receive necessary socialization and exposure to different sights, sounds, smells, surfaces, and situations.

Puppy Parenting also entails attending monthly Puppy Parent meetings and outings, filling out monthly reports, taking weekly pictures, reinforcing the dog’s learning, and keeping the dog healthy and safe.

Your role in parenting a New Life K9s dog is a crucial part of our mission of saving lives through the healing power of the human-canine bond.
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Date*

MonthDayYear
Date
Name*
First and Last
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*

Area CodePhone Number
Daytime Phone Number

Area CodePhone Number
Evening Phone Number

Area CodePhone Number
Email*
example@example.com
How do you know about New Life K9s and our Puppy Parent Program?*
How do you know about New Life K9s and our Puppy Parent Program?*

A friendFacebookFamily member/friend is in the NLK9s programYou or someone you know works for NLK9sOther
What volunteer position are you applying for? ( Select all that apply)*

Puppy SocializerWeekend Puppy ParentFull-Time Puppy ParentPart-Time Puppy Parent

Our service dog in your home
Will you accept responsibility for any destruction by the dog to your house or yard?*

YesNo
Will you be able to take the dog to work or school with you?*

WorkSchoolWork & SchoolNoOther
How many days a week and how long? *
Where do you work or attend school?*
What kind of environment would the dog be exposed to at work or school?*
Can you think of any situation where you would not take the dog with you?*
If you are in a situation requiring that you have to leave the dog alone at home, where will the dog stay?*
Where in the house will the dog sleep during the night?*
How will you exercise your dog and how often?*

Commitment agreement
Are you committed and willing to take the dog with you on public outings? Please note that you will be responsible for the safety and positive exposure of our dogs in public places, crowds, traffic, construction, children, music, and unusual environments, just to name a few.*

YesNo
Can you commit to coming to New Life K9s Puppy Parent meetings at least once a month? Meetings are usually offered every other week and may require some field trips.*

YesNo
Can you commit to scheduling individual public outings with our staff at least once a month? Outing times/days are flexible and may require some field trips.*

YesNo
Do you consent to pre-announced visits to your home by a New Life K9s representative before and during the time the dog is in your care?*

YesNo

Tell us about your home