Date Of Birth:
If yes, how many?
Are dependents currently living with you?
Emergency contact (name, phone number, relation):
Do you like dogs?
Have you ever owned a dog?
Do you have a dog allergy?
Do you feel you are capable of taking care of and being responsible for a dog?
Please give examples of dog breeds you would like to be paired with as a service companion.
Which gender would you prefer?
Do you have any physical limitations?
Are there specific tasks you are aware of that you need your service companion to perform or assist you with? If you are unsure, our trainer can discuss options with you.
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Do you have a medical history of any of the following
Do you have any allergies/ special health consierations?
If yes please explain:
Are you now or were you ever in the military?
If yes, what branch?
Are you currently employed?
If yes, place of employment:
How did you hear about TAO K-9 Unleashed?
Do you have a driver's license?
If yes, DL State and No.
Have you ever been convicted of a crime?
if yes, please explain:
Please list the names, telephone numbers and addresses of three people, other than relatives, who have known you for several years. If employed, please include the name of your present employer as one reference.
Signature: Typing your name signifies your answers are truthful to the best of your ability.