Hearing Dog Application

Your Name*

Your Email*

Phone*

Please enter phone number where you can be reached weekdays, 8am - 4:30pm Pacific Time

Mailing Address*

City, State & Zip*

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How did you hear about Dogs for Better Lives and our programs?*

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Trained Professional ie Dr., Lawyer, Therapist, etc. (which one?)
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I have a fenced yard that is secure & attached to my home*
YesNo

I understand that Dogs for Better Lives is unable to train personal pets as Assistance Dogs*
YesNo

I have other dogs in my household*
YesNo

I understand an Assistance Dog is a trained working animal, not a pet or a guard dog*
YesNo

I understand I will not be able to choose a specific breed, color, or sex of dog*
YesNo

I understand not all Assistance Dogs are certified for public access*
YesNo

I understand the wait time for a Hearing Dog certified for public access may be longer than the wait for a Home Hearing Dog*
YesNo

I understand I will be required to pay a non-refundable $50.00 application fee upon submission of my application*
YesNo

I understand upon acceptance of my application I will be required to pay a REFUNDABLE $500.00 Good Faith Deposit*
YesNo

I understand the REFUNDABLE $500.00 Good Faith Deposit can be returned to me after the dog & I have successfully been together one year*
YesNo

I understand I must be willing & able to physically, mentally & emotionally care for a dog without assistance*
YesNo

I understand I will be required to attend obedience training classes or hire a private obedience trainer*
YesNo

I understand there will be a steep learning curve for approximately the 1st year*
YesNo

I understand Dogs for Better Lives will be there to help me for the lifetime of my team*
YesNo

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