Puppy Raisers are an integral part of the W.A.G.S.4KIDS program.  It is throught the
dedication of it's volunteers that W.A.G.S.4KIDS is able to prepare these special
animals
1.) Please list the names and ages of household members involved in puppy raising.
Please list all other family members living in your home, their relationship and age:
GO TO PAGE 2 OF PUPPY RAISER APPLICATION
for the work they will do.  Homes are needed for periods of approximately six months in duration.  The puppies will be placed
in one home for the eight (8) week old to eight (8) month old time frame and in another home from approximately eight (8)
months to fourteen (14) months old. At this point, final skill training will be completed at the W.A.G.S.4KIDS home in Berea,
Ohio.

We thank you for your interest in helping  in this endeavor and ask that you fill out this application with as complete answers
as possible.  You may apply as a puppy raising household for either and/or both possible time periods of raising responsibilities.
First  / Last Name:
Address:
City ,State, Zip:
  Phone:
Cell:
Email:
Business Phone:
Fax:
Primary Raiser:
Age:
Years old
Occupation:
Other Family Members (1)
Relationship:
Years old
Age:
Other Family Members (2)
Relationship:
Age:
Years old
Relationship:
 Age:
Other Family Members (3)
Years Old
Other Family Members (4)
Relationship:
Age:
 Years Old
SUBMIT THIS PAGE BEFORE GOING ON TO PAGE 2.