Guide Dogs for the Blind K9 Buddy Application - Youth

Parent or Guardian Information
Address Information
Mailing Address
Contact Information
Applicant Information (Child's Information)
All applicants must be 5 years of age to apply.
Application





If they 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.

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 the applicant's address and phone number, as well as changes in the applicant's 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