Guide Dog Puppy Sitting Form

Give as much information as possible about your puppy so the sitter can give it proper care. Submit this completed form and the sitter's Diary of the Visit with the puppy report you turn in to the club leaders. Be sure to explain headcollars or other specialized equipment your puppy may be using to the sitter, so they are aware of its proper use.

Puppy sitter's name:
Date dropped off: When will the puppy be picked up?

Puppy and Raiser Information

It is customary for the puppy raiser to transport the puppy to and from the sitters home.

Puppy's Name: Breed? Age:

Sex:	Male		Has the pup been altered?	Yes
	Female			No

Raiser's Name: Telephone:
Address:
Email:
Puppy's Veterinarian: Phone:

Behaviour

Select all that apply:

In the house	In the yard	On outings
Excessive barking Relieves in house Jumps on furniture	Excessive barking Relieves in house Jumps on furniture	Excessive barking Relieves in house Jumps on furniture