K9 Handler Assistance Application

Full Name

Please enter your full name.

This field is required.

Phone Number

Please provide a contact phone number.

This field is required.

Email Address

Please enter your email address.

This field is required.

K9’s Name

Please enter your dog’s name.

This field is required.

K9’s DOB

Please specify their DOB or best guess

This field is required.

What Agency Did They Work For

Please enter the agency your dog served with.

This field is required.

Years of Service

Please use the format – YYYY–YYYY.

This field is required.

What Were They Certified In?

Please describe the certification of your dog.

This field is required.

Who Were they Certified Through?

Please specify the certifying agency or organization.

This field is required.

Current Veterinarian

Please enter the name of your dog’s current veterinarian.

This field is required.

Dog’s Approx Weight

Please enter your dog’s weight in pounds.

This field is required.

Highest Need for Care?

What is your dog’s current need under our care?

This field is required.

Pre-existing Conditions or Injuries

Please note any pre-existing conditions or injuries, NO injuries or conditions would ever disqualify a K9 from receiving care, this just helps us better understand their needs.

This field is required.

Food Currently On

What food is your dog currently eating?

This field is required.

Currently Being Treated For Anything?

Is your dog currently undergoing treatment for anything?

This field is required.

Noteable Service Moment

Share a notable moment from your dog’s time in service. We do publish these so only include information that is aloud to be made public. ALL TYPES WELCOME (Bites, Finds, Tracks, Comfort.) People LOVE to know how our dogs helped their community.

This field is required.

Instagram Handle

Best if you have one specific for the K9, but you can share your personal one if you are comfortable.

K9 Handler Assistance Application

Apply to become a harlows heroes foundation team and recieve assistance under our foundation.