Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Work Phone

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

If you are out with a dog in public, are you comfortable talking with people about your dog and what you are doing? *

Yes

No

Do you agree to pick up, clean up, and dispose of the dog’s waste when he/she eliminates in public? *

Yes

No

Are you willing to learn a completely new approach to training dogs and discontinue using your previous methods? *

Yes

No

Please indicate by selecting below any other volunteer opportunities you would be interested in

Respite Volunteer

All-Purpose

Special Events

Nights and Weekends

Puppy Raiser