,
Freedom Paws Assistance Dogs
Freedom Paws Assistance Dogs
Home
Volunteer
Volunteer Agreement
Puppy Raising
>
Puppy Raising Application
>
Puppy Raising Electronic Contract
Puppy Raising Monthly Report
Breeder Caretaker
Request to become a volunteer
Other
Apply for a Dog
Our Assistance Dogs
Graduates
Breeders
In Training
Change of Career Dogs
>
Change of Career Dog Application
About Us
Careers
Contact Us
Gallery
Donate
Team Training
Quizzes
>
Quiz One
Quiz Two
Quiz Three
Quiz Four
Homework
>
Homework 1
Graduate Monthly Follow Up
Assistance Dog Applications
>
Diabetic Alert Dog Application
Service Dog Application
Facility Dog Application
Freedom Paws' Blog
*
Indicates required field
Date
*
Puppy Raiser Name
*
First
Last
Puppy Name
*
Month
*
Email
*
Would you like to speak to someone from the puppy program?
*
Yes
No
Age and Gender
*
Microchip Number
*
ID Tag Number
*
Brand of Dog Food and Total Cups Per Day.
*
Weight
*
Choose One
*
Intact
Neutered
Are you using flea/tick control?
*
Yes
No
Are you giving giving heart worm medication?
*
Yes
No
Has the puppy seen a veterinarian for a medical problem?
*
Yes
No
Has your puppy been boarded at a kennel for any reason?
*
Yes
No
If applicable, please list first and last day of heat cycles.
*
Please check grooming procedures.
*
Brush Coat
Clean Ears
Clip Nails
Brush Nails
Bath: Date(s)
*
Are you using a gentle leader/sensation harness?
*
Yes
No
Are you using something other than kibble to reward behavior?
*
Yes
No
Number of puppy classes attended this month, Training Center
*
Commands
*
Name
Hurry
Kennel
Wait
Release
Sit
Down
Let's Go
Don't/No
Drop
Here
Dress
Roll
Shake
Stand
Car
Under
Heel
Side
Bed
Jump
Off
Speak
Quiet
Out
Back
Lap
Turn
Up
Visit
Socialization (include date and activity)
*
Is the puppy sleeping in the crate at night?
*
Yes
No
Does the toilet on leash on command?
*
Yes
No
On any surface?
*
Yes
No
Barking/Whining/Growling:
*
At Dogs
At People
In Crate
In Car
When Bored/Frustrated
When Excited
When Playing
Frequency
*
Once
Occassionally
Frequently
Distracted:
*
By People
By Dogs Or Other Animals
By Moving Objects
By Food
Frequency
*
Once
Occassionally
Frequently
Inappropriate Toileting:
*
In the Crate
In the House
One Let's Go- Not on Command
Marking or Lifting Leg
When Excited
When Nervous
Frequency
*
Once
Occassionally
Frequently
Biting/Nipping/Licking
*
People's Hands or Feet
People's Clothes
Dogs
Cats or other pets
Him or Herself
Frequency
*
Once
Occassionally
Frequently
Eating:
*
Poor Eater
Eats too Fast (Gags or Throws Up)
Eats Stools
Steals Food
Steals Garbage
Frequency
*
Once
Occassionally
Frequently
Jumping
*
On People
On Furniture
Frequency
*
Once
Occassionally
Frequently
Cape/Gentle Leader
*
Rubs/Paws
Won't move while wearing
Other
Frequency
*
Once
Occassionally
Frequently
Excitable Greetings
*
Familiar People
Unfamiliar People
Dogs
Other
Frequency
*
Once
Occassionally
Frequently
Leash Behaviors
*
Bites Leash/Holds in Mouth
Pulls on Leash
Lags on Leash
Bolts to end if nervous or afraid
Lunges towards distractions
Frequency
*
Once
Occassionally
Frequently
Chasing
*
Small Animals
Leaves
Tail
Other
Frequency
*
Once
Occassionally
Frequently
Fearful/Nervous
*
Around People
Around Dogs
Around other animals
Of loud/sudden noises
Of visual objects
In tight spaces
Frequency
*
Once
Occassionally
Frequently
Mounts
*
People
Dogs
Bedding or other items
Frequency
*
Once
Occassionally
Frequently
Chewing
*
Inappropriate Items
Destroys Toys
Leaves, Grass, Twigs
Frequency
*
Once
Occassionally
Frequently
Grooming/Handling Problems
*
Resists Restraint
Resists Cradling
Resists Nail Clipping
Resists Brushing Coat
Resists Brushing Teeth
Resists Cleaning Ears
Resists Medication
Resists Putting on the Gentle Leader
Resists Putting On the Cape
Frequency
*
Once
Occassionally
Frequently
Protects
*
Food or Toys from humans
Food, Toys, or Beds from dogs
Home or Yard
Frequency
*
Once
Occassionally
Frequently
Running Away
*
When nervous or afraid
Plays keep away
Frequency
*
Once
Occassionally
Frequently
Surfaces
*
Avoids Grates
Avoids Slick Floors
Avoids Stairs
Frequency
*
Once
Occassionally
Frequently
Digging
*
In Yard
In Crate
Frequency
*
Once
Occassionally
Frequently
Please describe what you are doing to correct the behavior(s) and if you are seeing progress?
*
Please describe and additonal comments or concerns about your Freedom Paws puppy.
*
Submit