CANINE PARTNERS OF THE ROCKIES

Applicant Information

* Indicates required field

Name *

First

Last

Date *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home # *

Work # *

Cell # *

Email *

Emergency Contact Information

Name *

First

Last

Relationship *

Home # *

Work # *

Cell # *

I am applying to be a: *

How did you hear
about CaPR? *

Why do you want to raise a puppy or be a puppy sitter for CaPR? *

Have you ever raised a puppy or had an adult dog before? *

Yes No

Do you have previous experience with dog training? *

Yes No

Are you familiar with clicker training? *

Yes No

Do you have an enclosed yard? *

Yes No

Is there a weight limitation for dogs where you live? *

Yes No

Are there children living in your home? *

Yes No

Are there animals
living in your home? *

Yes No

If you work outside the home, are you able to take a CaPR puppy to work with you? *

Yes No

If you attend school, are you able to take a CaPR puppy to school with you? *

Yes No

Are you willing to allow a puppy/dog to sleep (in a crate) in your bedroom? *

Yes No

Are you willing to socialize a CaPR puppy in public (i.e. trips to grocery stores, malls, restaurants, movie theatres, other businesses)? *

Yes No

Describe any experience you have working with people with disabilities: *

Please describe a typical day for you: *

Are you willing to attend Puppy
Classes and outings in the Denver
metro area? *

Yes No

Are you willing to make a 20-24 month commitment to the physical, emotional, financial, and training needs of a CaPR puppy/dog? *

Yes No

Please describe your feelings about returning the puppy to CaPR for advanced training and then placement with a personwith a disability. *

If your application is approved, when will you be available to receive a puppy? *

Please add any other information you would like us to consider. *

Please check the following: *

The above information is true and accurate. As a CaPR puppy raiser, I agree to adhere to all requirements of Canine Partners of the Rockies, Inc. and to be responsible for the care, feeding and training of the CaPR puppy. I agree to attend regularly scheduled puppy classes. I confirm that the puppy is the property of CaPR and agree to return the puppy to CaPR upon request.

Applicant Information

​Emergency Contact Information

Canine Partners of the Rockies

Emergency Contact Information