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Puppy Program Volunteer Application

Puppy Raiser Information

“Please complete all required fields as indicated by *.”





Applicant:

Primary raiser or parent/guardian of youth raiser



Enter four digit year, Ex: 01/03/2001, not 01/03/01

Home Address






5 digits only, no dash





area code & number, no dashes







College/University Information



Your Mailing Address when at College






5 digits only, no dash

Youth Raiser





Enter four digit year, Ex: 01/03/2001, not 01/03/01

Salutation


Household















Pet Ownership


Other Dogs






Are they house dogs or outside dogs?  Note: Guiding Eyes puppies must be raised as house dogs. 






Dog Experience






Raiser Responsibilities













References





It is helpful for us to know where you work. We will not contact your employer without first notifying you.



Preferences





Final Thoughts


Max 1,000 characters

Max 1,000 characters

If you have questions, please contact the Canine Development Center at (845) 878-3330.

Statement:
By submitting this form online, I certify that I have studied general information about the Guiding Eyes puppy raising program and I understand the commitment of time, money and love involved in raising a puppy for 14-16 months. Please accept my application to become a Guiding Eyes for the Blind Puppy Raiser.
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