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Qualification
Package

User Information

Name of User
First Last
Date of Birth
Applicant Number
#000
Class Number
#000
Qualification Date
Qualification Number
#000
Instructor
First Last

Dog Information

Name of Guide Dog
Name
Gender and Breed
Gender/Breed
Date of Birth
Date Neutered
Microchip Number
#000
Minimum and Maximum Weights
#00lbs – #00lbs
Date Dog Retires

Puppy Walker Information

Name of Walker
First Last
Email
blank@blank.com
Phone Number
000-000-0000