Petstablished | Manage your Animal Welfare Organization (AWO) with our easy-to-use software.

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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

Country

*State/Province

Date of Birth

* Month

* Day

* Year

Training Completion

We hope you had a positive experience training with your newly adopted dog. Responsible ownership starts with building a bond between you and your dog; learning respect and setting expectations. Now that you've worked with a professional dog trainer, you made a positive first step forward in building that relationship. Congratulations!

Trainer/Facility Name

Please provide us with the name of the trainer you used and/or the training facility.

What level of training was completed?

This can be the name of the course, level of training (example: Basic Obedience).

Date the training was completed

Adopted Pet

What was the name of your pet at the time of adoption?

What was the adoption date of the pet?

If you're unsure of the exact date, an estimation is acceptable.

Have you changed the name of the adopted pet?

YesNo

If yes, what is the dog's new name?

Please upload a copy of your Certificate of Completion.

If unable to upload you can email proof of training completion to us at "training@rescuecrew.org." Once we receive this information and this completed Reimbursement Request Form, we will mail a $50 check to you. Please allow 45 days to receive your reimbursement check. We will make every effort to process your reimbursement request more quickly when possible. Thank you.

Disclaimers & Certifications

I certify that the informaton provided is true and accureate. I also understand that giving false, or incomplete or missing information is grounds for denying this request. This form remains the property of The Rescue Crew and does not, in any way, guarantee that you will be reimbursed.

DO YOU AGREE TO THE ABOVE? AN INDICATION OF "YES" WILL SIGNIFY YOUR ELECTRONIC SIGNATURE AND TREATED AS SUCH.

YES. I UNDERSTAND AND CERTIFY THAT THIS INFORMATION IS TRUE AND ACCURATE