Contact Form

pawstofreedom@gmail.com
503-231-2555
Portland, OR

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Participant Interest Form



Please complete this form if you are interested in participating in Paws to Freedom Events, the Planning of Events, or other interests you have in participating.

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E-mail Address: *
Your First and Last Name: *
City:
State:
Zip Code:
Phone Number:
Please check all statements that apply: *Partnered with a Trained Service Dog
Partnered with a Service Dog In Training
Considering applying for a program trained service dog
Considering training a dog for myself
Healthcare provider
Support person of a person with service dog
Dog Trainer
Dog Health care provider (Veterinarian, Vet Technician, etc.)
Service provider for people with disabilities
Interested Community Member
Other, please specify below
Please specify other if checked above.
Are you interested in helping with the Planning Phase?
Please check the boxes of your Planning participation interests.Help with planning.
Provide space for meetings & events.
Attend workshops & meetings.
Workshop Presenter
Fundraising
Board Involvement
Other, please specify below
Please specify other planning involvement interests.
Please list skills you can share in the Planning Phase.
Are you planning to attend events and activities in the Portland-metro area? *
Please check the type of activities you would participate in or attend. (Please check all that apply.) *Training Workshops
Dog Care Workshops
Public Access Activities
Canine Good Citizen Testing
Refresher Training
Pot Lucks
Fundraising events
Educational Booths
Community Presentations
Monthly Meetings
Printed newsletter
Email newsletter specific for Service Dog Teams only
Assist with planning events and activities
Picnics
Parties
Accessible Geocaching Event
Workshop Presenter
Other (If selected, please detail in following space.)
Other:

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