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Volunteer to be an Adult Raiser
Available in Edmonton Only
If you have any questions or have trouble with this form, please give us a call (780) 455-8137.
Name
(Required)
First
Last
Age
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Phone
(Required)
Email
(Required)
How did you hear about Aspen Service Dogs?
Work and Home
Employment
(Required)
Usual Hours of Work
(Required)
Do you own your own vehicle?
(Required)
Yes
No
Are you willing to have our dog live in your home as a member of your family?
(Required)
Yes
No
Transport to our school is mandatory for the Adult Program. Are you prepared to transport our adult dog to and from our training school from Monday to Friday?
(Required)
Yes
No
Do you rent or own your property?
(Required)
Please note if you reside in rental property, written landlord approval is required.
Own
Rent
Number of adults in the home
(Required)
Number of children living at home
(Required)
Ages of children
Are there any areas of your home that would be out of bounds for the dog?
(Required)
Please note that our dogs are required to sleep in a dog bed or in a kennel.
Is your yard fenced and secure?
Yes
No
Do you currently have any pets at home?
(Required)
Yes
No
What type and how many?
What ages are the animals?
Are their vaccinations up to date?
Yes
No
Commitment
Do you agree to not leave our dog alone for an extended period greater than 3 hours?
(Required)
Yes
No
Personal Reference
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Relationship
(Required)
Years known
(Required)
Professional Reference
Name
(Required)
First
Last
Company
(Required)
Relationship
(Required)
Years known
(Required)
Phone
(Required)
Email
(Required)
Aspen Service Dogs Inc., will expect you to commit to the ASD training and health programs.
Comments or Questions
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