Thank you for your interest in adopting a career changed dog from Leader Dogs for the Blind. Please note that because of the interest our career change program generates, we can only accept 50 applications per orientation.

* 1. Name of applicant interested in adopting a career changed dog:

* 2. Number of guests attending the orientation with you:

* 3. Phone number for us to contact you:

* 4. Best time for us to contact you:

* 5. Email address for us to contact you:

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