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* 1. Full Name

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* 2. Dog Name , Breed & Age

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* 3. Do you live in the Ottawa Valley and are willing to come to weekly training sessions

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* 4. Do  you work in a line of work that would benefit from you bringing a therapy dog in occasionally? If so explain

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* 5. what training have you done with your pup? if any what can your pup already do

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* 6. Are you willing to donate your time to attend WM6 events and presentations with your pup?

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* 7. Are you Military/ Veteran/First Responder or Civilian

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* 8. Contact Email we can reach you at

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* 9. Why do you wish to enter our Therapy Program

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