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Breeding Stock Volunteer Application

  Your contact information:

*

Name:

 

 

   

*

 

 

City/State/ZIP:

 

    

 

 

If you respond and have not already registered, you will receive periodic updates and communications from Guide Dogs for the Blind.

 


  Please provide the following phone numbers:
   


   


   


 

(Maximum response 255 chars, approx. 5 rows of text)

 

(Maximum response 255 chars, approx. 5 rows of text)

 

(Maximum response 255 chars, approx. 5 rows of text)

 

(Maximum response 255 chars, approx. 5 rows of text)

 
Question - Not Required - Do you own your home?


   


   


 

(Maximum response 255 chars, approx. 5 rows of text)

 
Question - Not Required - Does your property contain an in-ground swimming pool?


 
Question - Not Required - If yes, is the pool separately fenced?


 
Question - Not Required - If your property contains an in-ground swimming pool, does the pool have a child safety cover?


 

(Maximum response 255 chars, approx. 5 rows of text)

 

(Maximum response 255 chars, approx. 5 rows of text)

 
Question - Not Required - Are you able to provide transportation of the dog to and from San Rafael whenever asked and in a timely manner between the hours of 8 a.m. and 5 p.m. seven days a week? (A brood bitch may require 8 to 10 round trips per year and a stud dog as many as 15.)


 
Question - Not Required - Where will the dog sleep?


   


 
Question - Not Required - Do you agree to keep the breeding stock dog on a leash at all times when not in a secured area?


 
Question - Not Required - Do you agree to complete a basic dog obedience course within six months of dog's placement, at your own expense?


 
Question - Not Required - Are you willing to work with a dog in the area of temperament or behavior modification, including, but not limited to additional training at your expense?


 
Question - Not Required - Are you able to keep the dog in excellent physical condition by exercising it for a minimum of 30 minutes per day?


 

(Maximum response 255 chars, approx. 5 rows of text)

 
Question - Not Required - Are you able to devote time to daily grooming and parasite control at your own expense?


 
Question - Not Required - Can you provide a quality dog food at your own expense (approximately $50.00 per month)?


 
Question - Not Required - Do you prefer a male or female dog?



 
Question - Not Required - Are you willing to comply with home visitations?


 
Question - Not Required - Are you or any family members allergic to dogs or to flea control products?


 
Question - Not Required - Does everyone in your household want a dog?


   


 
Please tell us about any current animals living at your home.
   


   


 
Question - Not Required - Sex:


 
Question - Not Required - Spayed/neutered:


 
Question - Not Required - Where does this animal sleep?


   


 

Second animal:

   


   


 
Question - Not Required - Sex:


 
Question - Not Required - Spayed/neutered:


 
Question - Not Required - Where does this animal sleep?


   


 

Third animal:

   


   


 
Question - Not Required - Sex:


 
Question - Not Required - Spayed/neutered:


 
Question - Not Required - Where does this animal sleep?


   


 

Please tell us about your previous pet history.

First pet:

   


   


 
Question - Not Required - Sex:


 
Question - Not Required - Spayed/neutered:


 
Question - Not Required - Where did this animal sleep?


   


 

(Maximum response 255 chars, approx. 5 rows of text)

 

Second pet:

   


   


 
Question - Not Required - Sex:


 
Question - Not Required - Spayed/neutered:


 
Question - Not Required - Where did this animal sleep?


   


 

(Maximum response 255 chars, approx. 5 rows of text)

 

Third pet:

   


   


 
Question - Not Required - Sex:


 
Question - Not Required - Spayed/neutered:


 
Question - Not Required - Where did this animal sleep?


   


 

(Maximum response 255 chars, approx. 5 rows of text)

   


   


 

(Maximum response 255 chars, approx. 5 rows of text)

   


   


   


 

(Maximum response 255 chars, approx. 5 rows of text)

   Please leave this field empty

     

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