SOS Order Form K9 Teams: Please order one card for each dog. Membership Type: Team LeaderCanine Team Your Name: Your Email: Street Address: Street Address Line 2: City: State: Zip Code: Date First Certified by HOPE: (enter the month and year when you were first certified with this dog or as a team leader) Dog's Information Team leaders: Please enter N/A for these input fields. Dog's Name: Dog's Breed: Dog's Date of Birth: Dog's Stress Signs: (i.e. panting, tail tucked, avoidance) Does your dog crate ok?: YesNo Human's Information Your Stress Signs: (i.e. face flushes, sweat, or...?) Special Information: (List any physical limitations, medic alerts, allergies, meds, etc. for you and your dog.) Emergency Contact Name: Emergency Contact Phone Number: Please provide a portrait view photo of you and your dog, or just yourself if you are a team leader. Also, please wear your HOPE uniform shirt and have your dog wear their vest. Please attach your photo here.