Battle Buddy application

Tell us about you

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

What is your birthday?(Required)

Month

Day

Year

Do you have children at home?(Required)

Yes

How did you hear about our Battle Buddy program?(Required)

What are the ages?(Required)

Tell us about your service

Which branch?(Required)

Air Force

Army

Coast Guard

Marines

Navy

Service status(Required)

Active

Reserve

Veteran

Service status document(Required)

Upload a copy of your Active Duty ID card, Reservist ID card, or your DD-214

Accepted file types: jpg, pdf, png, Max. file size: 5 MB.

Are you a combat veteran?(Required)

Yes

How many years did/have you serve(d)?(Required)

Tell us about what’s going on now

Describe how your disability impacts you.(Required)

Are you physically able to train your own dog? (Training requires alot of bending, stooping, reaching, kneeling, standing, walking, sitting as well as other strenuous activity.)(Required)

Yes, I think I’m up for it.

No, that seems beyond my abilities.

What do you and your dog hope to get out of the program?(Required)

Tell us about your dog

What's your dog's name?(Required)

What's your dog's breed?(Required)

What's your dog's age?(Required)

How much does your dog weigh? (Pounds)(Required)

Is your dog spayed or neutered?(Required)

Yes

How long have you owned your dog? (Years)(Required)

How many pets do you have at home?(Required)

How does your dog react to dogs he/she does not know?(Required)

How does your dog react to cats?(Required)

How does your dog react to children?(Required)

Have you ever heard your dog growl at a person?(Required)

Yes

Has your dog ever bitten anyone?(Required)

Yes

Has your dog ever been injured by another dog?(Required)

Yes

Is your dog reactive to (hiding from or barking at) loud noises like the doorbell, fireworks, etc?(Required)

Yes

Please describe the cause and reaction.(Required)

What's the name of your veterinarian?(Required)

What's your veterinarian's phone #?(Required)

Is there additional information you would like to share for this application?(Required)

Yes

What should we know?(Required)

I understand and agree that submitting this application form does not automatically guarantee my acceptance into the Battle Buddy Program. By submitting this form, I attest that the information I have provided on the form is true and accurate.

Heal with your best friend

Tell us about you

Tell us about your service

Tell us about what’s going on now

Tell us about your dog

Join Us!

Subscribe to our newsletter.