New Group Representative Interest Form

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This form is for groups of puppy raisers of assistance dogs that are interested in partnering with Pawsible Inc. to support their puppy raisers financially. Pawsible Inc. also offers an inter-organizational support network that's focused on puppy raisers and the struggles we face that might not always be addressed by our parent organizations.

Please fill out the questions below to the best of your ability and only complete this form if you are submitting it on behalf of a group of raisers at a university or other location-based grouping. You should be a member of leadership in your group. If you are an individual that is in need of assistance, please contact us directly at info@pawsibleinc.org

Email *

First & Last Name *

Pronouns

Puppy Raising Instagram Handle *

Location of your Puppy Raising Group (if university group please include name of university)

Puppy Raising Parent Organization *

Costs that Parent Org covers (Check only those that fully apply) *

Food

All Vet Costs

Major Vet Costs Only (i.e. spay/neuter; non emergent x-rays/screening)

Minor Vet Costs Only (i.e. Standard check ups; Vaccines, etc)

Emergency Vet Costs Only

Leash, Vest, Collar(s), Head Collar,

Flea & Tick Prevention

Heart Worm Prevention

Toys

Kennel/Crate

Kenneling the dog when going on vacation (or they need a lady vacation)

Transportation to and from headquarters for drop off & IFT

Other:

Required

Approximately how many individual puppy raisers and puppies are in your group? Do not include current prospective raisers or past raisers/dogs

Active Puppy Raisers/Sitters

Current Puppies-in-Training

1-5

5-10

10-15

15-20

20-30

30-50

50-75

75-100

100+

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