Program Assistance Dogs

Name: *

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Phone Number: *

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I have a fenced yard that is secure & attached to my home: *

Yes

No

I understand that DFD is unable to train personal pets as Assistance Dogs: *

Yes

No

I have other dogs in my household: *

Yes

No

I understand that an Assistance Dog is a trained working animal, not a pet or a guard dog: *

Yes

No

I understand that I will not be able to choose a specific breed, color, or sex of dog: *

Yes

No

I understand that I will be required to pay a non-refundable $50.00 application fee upon submission of my application: *

Yes

No

I understand that upon acceptance of my application I will be required to pay a REFUNDABLE $500.00 Good Faith Deposit : *

Yes

No

I understand that the REFUNDABLE $500.00 Good Faith Deposit will be returned to me after the dog & I have been together 1 year: *

Yes

No

I understand that I must be willing & able to physically, mentally & emotionally care for a dog without assistance: *

Yes

No

I understand that I will be required to attend obedience training classes or hire a private obedience trainer: *

Yes

No

I understand that there will be a steep learning curve for approximately the 1st year: *

Yes

No

I understand that DFD will be there to help me for the lifetime of my team: *

Yes

No

Comments/Questions:

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