Date:
Name: Phone:
Address:
Email:
Occupation(s):
Have you had any experience with Dogs or Training? Yes No
Details:
Are there any pets in your home? Yes No
When are you available to cuddle a puppy? (Days of the week/hours available):
How long are you able to commit to puppy cuddling for?
Why is it you would like to take part in our puppy cuddler program?
Relationship: Years Known:
Comments/Notes:
