Puppies Behind Bars Department Facility Dog Application

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Personal Information




















Lifestyle and Residence



Check all that apply.



If you rent, you will be required to submit a letter from your landlord verifying that you may have a service dog.












Dog Care











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Puppies Behind Bars Facility Dog Agreement

Puppies Behind Bars (PBB) pays the costs associated with training the dog and matching the dog with first responders or their departments. PBB will pay for travel and lodging expenses for the first responders to travel to the fourteen-day training where the participant and dog are trained to work together. PBB will also provide most of the meals, but on the nights when we do not go out to dinner together as well as nights you choose to either eat in your hotel room or go out with other participants, those costs will be yours. Please save and remit all receipts for gas if you choose to drive to “Team Training”. Thirty days after receiving the receipts, PBB will reimburse gas and toll expenses. PBB will not reimburse incidentals such as food or beverages consumed in transit or cultural or entertainment expenses incurred during the fourteen days of training with the dog.

I understand that I may contact Puppies Behind Bars at any time when I’m in need of advice related to my facility dog, including medical, behavioral, financial, or public access issues. I may be asked to participate in additional training, either virtually or in person if refresher training is deemed necessary.

If, at any time and for any reason, I find that it is impossible to keep the dog I have received from PBB, I will contact PBB and will return the dog to the organization. I will neither sell nor give the dog to anyone, including a family member. PBB will make all arrangements to pick up the dog and no questions will be asked. PBB feels that the dog’s happiness and health are of prime importance and will take back any dog whose quality of life is not of the highest standards, which includes that the dog maintains a healthy weight, receives proper veterinary care including monthly doses of Heartgard, Nextgard, and Frontline, one hour of off-leash outdoor exercise each day, and lives in the house and is not tied up outside or in a kennel. We will also take back the dog if you do not stay in touch with us, meaning that you do not return our calls, emails, texts, etc.

PBB will retain ownership of the dog for the life of the dog to ensure that you are working well with the dog and the above standards are met. While we have no intention, or desire, to take a dog back, past experience has shown us, unfortunately, that sometimes it is unavoidable.  PBB reserves the right to remove the dog from its placement at any time if one or more of the following situations exist:
  1. The recipient is unable to properly care for the dog, as determined by PBB, including but not limited to the dog maintaining his or her placement weight.
  2. The dog is being neglected or abused, or not exercised.
  3. I do not stay in touch with PBB as agreed upon.
  4. The dog is found wandering on its own.
PBB will be in contact with me monthly for the first six months that I am home with my dog and will test me and my dog once a year thereafter. I may have to travel to meet PBB instructors for these visits. I agree to do such travel and will comply with these visits as well as all emails, texts and phone calls from PBB staff and instructors. I am aware that if, at any time, I have questions or have trouble adhering to any of the above stipulations, I may contact my instructor or the PBB office. I understand that I may withdraw may application for a facility dog, leave team training, or return my facility dog to Puppies Behind Bars at any time.

I give my consent to Puppies Behind Bars staff to speak with my personal references, the head or chief of my department, and my significant other as a part of this application process. I understand that any information my references share with PBB staff is confidential and that Puppies Behind Bars will not share those details with me or any third party.