Guide Dogs for the Blind K9 Buddy Application - Adults

Your Information
Address Information
Mailing Address
Contact Information
Application





If you have worked with a dog guide before, from which organization did you receive it? (check all that apply)


Maximum response 255 characters.


Maximum response 500 characters.


Maximum response 255 characters.



Maximum response 255 characters.


Maximum response 255 characters.


Maximum response 255 characters.

Guide Dogs for the Blind will consider applications from individuals with felony convictions on a case by case basis. 
Please list all ages separated by a comma.  Example 12, 10, 7

Maximum response 500 characters.


Please list all members of the household.

Maximum response 500 characters.


Maximum response 500 characters.


Maximum response 500 characters.

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 pursuing a K9 Buddy.  I understand that a K9 Buddy dog is a pet and not a service dog and therefore does not have public access.


Contact Information