Paw Walker Application

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this application to be approved for Countryside Animal Rescue's Paw Walker Program.

The purpose of this program is for our resident dogs to get away, have some one-on-one time, and experience things outside the rescue, then you tell us about all the fun he/she had by completing a report card. Your information will play a huge part in finding this pet a perfect, forever home. You will be contacted within a few days to discuss the program details.

Email *

Name *

First and last name

Email *

Phone number *

List the name and age of any family members joining you on this walk. *

List the Breed and age of all the pets in your home.

Which applies to you? I have experience with: *

Yes

Medium to Large breed dogs

I do not have experience with dogs

Is there a specific breed you will not take on a walk?

Are you capable of walking large dogs that may pull when walking? *

Yes

Required

How did you hear about the Paw Walkers
Program?

Do you agree to take part in a brief training class and/or a pack walk. *

Yes

Thank you for your interest in our program. This is a huge help for our resident dogs. A staff member will contact you within the next few days.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms