Guide Dogs for the Blind K9 Buddy Application - Adults

Applicant Information

Please enter phone number with Area Code first

Please enter phone number with Area Code first

Please enter phone number with Area Code first

Please enter phone number with Area Code first

Application

Maximum response 255 chars, approx. 5 rows of text


Maximum response 255 chars, approx. 5 rows of text


Please list all members of the household.
Please list all ages separated by a comma.  Example 12, 10, 7

Maximum response 500 characters


Maximum response 500 characters


Maximum response 500 characters


Maximum response 500 characters


Maximum response 500 characters


Maximum response 255 chars, approx. 5 rows of text

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

You will be able to add up to 3 animals








Dog 2 currently living at your home







Dog 3 currently living at your home






Please tell us about your previous dog history.

You will be able to add up to 3 animals









Second dog history entry.








Third dog history entry.







Other Pets/Livestock.





Acknowledgment

I understand that it is my responsibility to keep Guide Dogs for the Blind informed of changes in my address and phone number, as well as changes in my interest in adopting a K9 Buddy.  I understand that a K9 Buddy dog is placed as a pet and not a service dog and therefore does not have public access.


By submitting this form, you acknowledge that Guide Dogs for the Blind may email you about this program, our services and organization. You may opt out or manage your email preferences at any time.

Contact Information