Application form | TOP Dogs

Please complete our Application form below:

Has your dog been trained to aggressively protect and/or encouraged to actively bite, even as a component of a dog sport? *

Yes
No

If YES, then we require a reputable, accredited ABC Professional Behaviorist who is familiar with the dog in question to complete a form stating the kind of bite work training the dog has undergone, as well as the dog’s suitability for therapy work. A decision will then be made as to whether the dog may be evaluated to become a TOP Dogs Therapy Dog.

* In adhering to our Public Liability Insurance requirements, all handlers applying must be 18 years old and over.

What are we looking for in a Therapy Dog team?

A dog who is friendly with all types of people
A dog who can work in close proximity to the other dogs in the programme
A dog who is controllable around other animals
A pro-active handler, who knows the needs, and whereabouts, of their dog at all times, and acts accordingly
A handler who will make sure their dog is clean and healthy
A handler who will be friendly to our clients

Handler Details:

Name *

First

Last

ID Number *

Email *

Home Phone

Cell *

Street Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Postal Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Details of your dog

Name *

Breed *

Sex *

Male
Female

D.O.B. (or approximate age if rescued) *

If rescued – date of adoption

Is your dog: *

Spayed
Neutered
Intact

If intact, kindly advise the reason for this

Therapy dogs must have annual Veterinary health checks along with their vaccinations, be de-wormed every three months, spot treated for ticks/fleas every month, and tested for worms with a faecal flotation worm test, before commencing visits.

Are you prepared to do this? (copy) *

Yes
No

Therapy Dogs must be bathed, groomed, teeth cleaned, nails filed, and sprayed with anti-bacterial spray before visits.

Are you also prepared to do this? *

Yes
No

Does your dog accept people of different cultures? *

Yes
No

Does your dog accept strange dogs/cats/birds/other animals? *

Yes
No

If NO, please specify

Does your dog have any fears or phobias you know about? *

Yes
No

If YES, please explain

About you

If you work, will you be able to get time off during the week in order to do a visit? *

Yes
No

Many companies now allow time off under their CSI program.

OR will you only be available in the evenings/weekends? *

Yes
No

We have a limited number of visits out of office hours and on certain Saturday mornings.

One visit will take ± 1 hour, plus traveling. Can you commit to one visit per week? *

Yes
No

If not, what is your availability?

The absolute minimum commitment required is one regular visit per month.

Do you feel uncomfortable interacting with any of the following *

Children
Elderly people
People with physical disabilities
People with mental disabilities

Other (please specify)

How did you hear about TOP Dogs *

What are your reasons for wanting to join TOP Dogs? *

What training experience, if any, do you have with your present, or any other, dog? *

If you don’t have dog training experience would you be prepared to sign up at a dog training school if recommended? *

Yes
No

I confirm that I have read and understood the information above and consent to receive mobile and/or email messages as indicated above from the TOP Dogs team.

I Confirm

Sign your Initials and Surname *

Dated *