Apply – Angel Retrievers

Name

First

Last

Your Age

Email

Address

I am interested in applying for a dog that is suitable as a:

Pet
Service Dg

If you are applying for a service dog, will you be able to provide medical documentation to support your disability and needs?

Yes
No
Not Applying for a Service Dog

If you are applying for a service dog, list the name, age, and diagnosis of the person who needs assistance:

If you rent a home, will your landlord allow a pet?

Yes
I own my home
I am applying for a service dog so this does not apply to me

Are all residents living in your home (including roomates) happy to have a dog living with them?

Yes
I’m not sure
I live alone

How long are you able to exercise your dog each morning?

20 minutes
40 minutes
I cannot exercise a dog

I am interested in a dog who

Is active and has a pep in their step
A dog who can be active when playing, but calm when working
A very calm and sedate dog

I am willing to travel for 3-4 days of instruction to learn to work with my dog in: (Check all that apply)

San Diego, California
Nacogdoches, Texas
I am not able to travel

After I receive my dog, I would like regular follow-up training support via:

Virtual and online instruction, phone, email or text
In-person instruction

List the details of anyone in your home that would react at anytime by hitting, kicking, biting or pinching another human or animal:

Has anyone in your home been convicted of a felony?

Yes
No
I’m not sure

my dog, age,

If you are hospitalized and unable to care for your dog, do you have someone who will care for them until you are able? List their name and phone number:

Will you, or the designated handler of the dog, ever dissociate to the point that they may walk into a busy street or other dangerous situations without being aware? Please descibe:

List your occupation, school schedule or regular hobbies and how many hours a day you are away from home due to these activies:

Do you live in a neighborhood that is:

Rural
Suburban
Metropolitan (busy city)

My neighborhood:

Does not have other dogs
Has dogs that are always behind a fence or on-leash
Occasionally has dogs that are loose and off-leash

Do you understand that by submitting this application you acknowledge that Angel Retrievers considers all applicants regardless of race, sexual orientation, religion, or creed and that Angel Retrievers reserves the right to deny services to an applicant for any other reason? Do you also agree to hold free from any and all liability Angel Retrievers, Little Angels Service Dogs, and owners, officers, and members of both organizations, agreeing that you, your family, guests, visitors, and members of your household waive the rights and claims for damages and injuries, which may come from your connection and participation with either program?

All information submitted in this application will be considered. If we feel one of our dogs is a good match for you, based on your ability to care for the dog, and which personality and propenseties would be right for you, we will reach out for further communication. Please list any other comments you would like us to consider in the text field below. Thank you in advance for your patience as we review submitted applications. We will be in touch within 1-3 business days.