Dog Donation Form

Dog Donation Disclaimer
To ensure that dogs accepted into the Victory Service Dogs training program are of the highest quality, dogs that do not meet the previously noted VSD requirements will NOT be considered. All dogs are subject to Assessment and Temperament testing by a VSD trainer prior to being accepted into the VSD training program.

All dog donors must be willing to comply with the following:
Home and care for the dog at donor’s expense until the dog can be placed with a veteran. Transport the dog to and from the facility for assessment and for veteran meet and greets to determine team compatibility.
Reassume ownership of the dog if it does not bond with or does not meet the needs of the veteran that it is initially paired with.
Reassume ownership of the dog if it washes/fails from the program and the veteran is unable to or does not want to keep the dog as a pet.
Attend classes with the dog to begin service dog training (age-dependent).

If you would like to donate a service dog prospect to VSD, please complete the following form. A VSD representative will contact you after your eligibility has been determined. Please answer honestly.

I have read and agree to the terms above. *

What breed of dog are you donating? *

Are you a breeder or an individual?

If you are a breeder, are you PACFA licensed?

PACFA license upload:

Click or drag a file to this area to upload.

Are you attached to or own a breeding business?

Name of Business

Website for breeding business (if applicable).

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Confirm Email

Phone Number

Are you a part of any of the following AKC programs?

Breeder of Merit
Bred with H.E.A.R.T.
None

Are you donating a single dog or puppies?

Has this dog had any prior behavioral issues, i.e. aggression and negative reactivity?

Is the dog AKC or UKC registered?

AKC or UKC Registration Number of Dog

Has this dog earned any titles?

Please list the titles earned for each parent:

Please list the title earned:

Breed

DOB or approximate age. (Dogs over the age of 1 will not be considered.)

Gender

Medical Information

Does this dog have any prior health testing, i.e. PennHi, OFA, Genetic Testing, Bite Certification, Ophthalmic CERF, etc...?

List all prior health tests: *

Please upload all applicable Veterinarian documentation:

Click or drag a file to this area to upload.

Does the dog have any preexisting conditions or prior medical treatments?

Explain

Does this dog have previous training?

Can you provide proof of the previous training, i.e a certificate of training completion?

Are you willing to bring in your dog for a temperament assessment? *

Documentation of previous training:

Click or drag a file to this area to upload.

Please use this space to address any questions, comments or concerns, if you have any.

Please type your name in the box below. This will be used as your digital signature. *

Date / Time

Date

Time

Make A Donation

Donate A Puppy

Dog Donation Form

Medical Information

Office & Training Facility

Main Office