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

First  / Last Name:

Address:

City ,State, Zip:

Phone:

Cell:

Email:

Business Phone:

Fax:

1.) Please list the names and ages of household members involved in puppy raising.

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

Please list all other family members living in your home, their relationship and age:

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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.