Puppy Raiser Application
Date ______
Contact Information
Name:
Address:
Phone Number(s):
Email address(es):
Household Members:
____ Adults
____ Children
Ages of Children:
Current Pets
Number of Dogs and Breed:
Ages:
Gender and spayed/neutered?
About your dogs:
Crate trained?
Do they alert at door/something outside?
Do they bark at people who enter your home?
Ever been in a fight?
Ever bitten someone (including other dogs/animals)?
Do they growl at anyone? Who, and in what situation?
Do they have any health issues?
Are they on Flea and Tick preventative?
Please describe any other pets you may have, including type of animal, age, and living situation (example: does your animal stay primarily in a crate or cage? Confined to a certain area of the home?)
Current Veterinarian
(name, address, phone number, number of years you have been using them)
How did you hear about WALK?
Please explain your previous puppy raising or dog training experience:
Training a working dog means that you must regularly bring this dog into public places and situations where dogs are not normally permitted. Do you feel comfortable with this? Are you prepared for the attention that having a dog in public will bring?
Raising a puppy in preparation for it to become a working dog requires a lot of time and attention, more than would be needed to raise a puppy as a pet. Please briefly explain how you feel that your lifestyle would allow you the time to spend with this puppy.
Do you have any physical limitations that may affect your ability to train a dog? If yes, please explain:
Why do you want to help us raise a WALK puppy?
Do you own or rent your home?
If you rent, does your landlord allow dogs on the premises (a note may be required):
Is your yard fenced in? What type of fencing and approximately how large is the fenced area?
Describe your home and yard, including any potential safety issues for a dog:
Are you willing and able to provide progress reports, and to meet regularly with the WALK trainers (at least once a week, typically 2-3 times per week)?
Do you have regular access to a computer and email?
Any other information you think WALK should know, or that you wish to provide?
Are you willing to sign an agreement that states that the puppy is and shall remain the sole property of the WALK program?
Are you willing to sign an agreement that states that a member of WALK may, at any time, repossess the dog at their discretion?
Are you willing to sign an agreement that states you will contact WALK immediately if the dog requires veterinary care outside of routine care, and that failure to do so may result in you being financially responsible for unauthorized treatment?
Thank you for your interest in a WALK puppy. You will be contacted for an interview.
Please return completed application to:
WALK
40 West St.
Douglas, MA 01516
Michael St. Louis
(508) 494-7585