subject_line
North Carolina Paws of War Dog Training Application
How Did You Hear About Us
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Friend
Doctor
VA
Website
Newspaper
TV
Other
Other
Which of the following applies*
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Veteran
Active Military
First Responder
Law Enforcement
Other
If you dont have access to your file electronically, please mail a copy to Paws of War, 127-6 Smithtown Blvd.
Nesconset, New York 11767
First Name
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Last Name
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Street Address
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Address Line 2
City
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State
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Alabama
Alaska
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Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
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Iowa
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Washington DC
Zip Code
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Phone Number
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Email Address
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Marital Status
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Yes
No
Sex
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Male
Female
Age
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Children
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Yes
No
If Yes, Their Names & Ages
Dog Info
How old is your dog?
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Is your dog up to date with vaccinations? If not, what vaccinations are due?
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Is your dog spayed or neutered?
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What is the name and phone number of your Veterinarian?
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Has your dog had any training before? If yes, where did your dog attend training and for how long?
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What are your goals for your dogs obedience training?
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Please attach your DD214 OR your first responder ID
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Address Line 2
State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Doctor's Phone Number
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Emergency Contact First Name
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Emergency Contact Last Name
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Emergency Contact Street Address
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Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Emergency Contact Phone Number
*