Dog Model Application Form

Thank you so much for being willing to have your dog(s) be a model for our students so that they can complete the practical workshop component of their studies and go on to become qualified Canine Therapists helping dogs just like yours to receive the quality care they need and deserve.

If you can please complete the form below (one form for each dog please) that will help us provide important information to the students and enable us to ensure the care and support required for your dog while he/she is with us.

It may seem like a lot of questions but depending on your dogs condition not all will apply and it should only take a couple of minutes to complete and submit.

Thank you so much for taking the time to complete this valuable information and once submitted we will be in touch to confirm with you and we look forward to seeing you and your dog(s) soon.

**If you've previously filled in this form and we have your dogs details already just let us know if anything has changed since last time we saw him/her.

And if you have any questions about any of the above or concerns about anything to do with your dog(s) being a canine model with the Canine Health & Wellbeing Academy (the Academy) please don't hesitate to get in touch at [email protected]

NOTE ON PRIVACY: By completing this form you are accepting that both you and your dog will be recorded live and that this may or may not be shared with current and future students of the Academy to support their learning. Your contact details will NOT be shared with the students or anyone else. Your dog's health and activity and home environment questions could be potentially asked within the assessment. By completing this form you are acknowledging you are comfortable with these details being shared with current and potentially future students of the Academy.