Southeastern Guide Dogs - Repeat Puppy Raiser Application

First Name (required)

Last Name (required)

Street address or PO Box

Apartment or suite number

City

State

Zipcode

Home phone

Work phone

Fax

Cell phone

Email address (required)

Please list the guide dog puppies you have raised

Do you understand it is a year commitment as a volunteer

Yes

Do you agreed to attend all the mandatory meetings with this puppy, or arrange for the puppy to be at all the mandatory meetings

Yes

If you have pets, please give the type, sex and ages of all pets:

What hours are projected that the puppy will be home alone

Will the puppy be allowed to sleep in your bedroom in a tie down or in a kennel crate

Yes

If not, where

Do you agree to return the puppy to Southeastern Guide Dogs, Inc. when the puppy is called back to Southeastern Guide Dogs

Yes

What was the name of your last assigned veterinary clinic?

Comments or Questions