Guardian Home Application

I AM WILLING AND ABLE TO PROVIDE APPROPRIATE VETERINARY CARE

YES

FULL NAME *

DO YOU AGREE TO FOLLOW THE TERMS OF THE GUARDIAN PROGRAM AS STATED ON THE GUARDIAN PROGRAM PAGE?

YES

BY SIGNING THIS FORM I AGREE THAT ALL OF THE INFORMATION I HAVE PROVIDED IS ACCURATE

STREET ADDRESS

TWO PERSONAL REFERENCES WITH PHONE NUMBERS

TELEPHONE

HAVE YOU READ ABOUT OUR GUARDIAN HOME PROGRAM PAGE?

YES

NO, I NEED TO REVIEW THIS INFORMATION

DO YOU HAVE ANY QUESTIONS REGARDING THE GUARDIAN PROGRAM?

IS YOUR YARD FENCED?

YES

NO

I AM WILLING AND ABLE TO TRAIN A PUPPY WITH BASIC OBEDIENCE OR I WILL SEEK THE HELP OF A TRAINER

YES

EMAIL *

Check here to receive email updates

BRIEFLY DESCRIBE YOUR HOME AND FAMILY LIFE

I AM WILLING AND ABLE TO PROVIDE PUPPY SOCIALIZATION

YES

VETERINARIAN REFERENCE WITH PHONE NUMBER

DO YOU OWN YOUR HOME?

YES

NO

DO YOU CURRENTLY HAVE PETS? IF SO PLEASE DESCRIBE (AGE, GENDER, ETC)