THERAPY DOGS NATIONWIDE
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Owner Declaration
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Volunteer Name
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Volunteer Number
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Name of Dog
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Breed
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Has your dog ever shown any unpredictable behaviour? If so, please give details.
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Has your dog ever shown any sign of aggression, this could include but not limited to, growling, lunging, snapping, guarding or biting? If so, please give details.
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Has your dog ever shown any displacement behaviours, this could include but not limited to, excessive licking, yawning, stretching, jumping up, barking? If so, please give details.
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For existing volunteers only, has your dog’s behaviour or demeanour changed with the last 12 months? If so, please give details.
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If you are unsure about any of the above, please describe any observed behaviours and we will contact you to discuss.
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To the best of my knowledge, I [FULL NAME] can confirm that [DOG NAME] is of sound temperament and, therefore I know of no reason why they should not be considered as a registered TDN Dog.
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Signature
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Date
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Submit