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Adding a Dog to the Atlas

Step Two

Simply complete this form, then press the Submit button. Required fields are in red.

About You

Name: First: Middle Initial: Last:
Email:
Are you: Deaf     Hard-of-hearing     Hearing
City:
State:

About Your Deaf Dog(s)

How many deaf dogs do you have?    1      2      3      4 or more

Do you foster or rescue deaf dogs? (Please note that the Deaf Dogs Atlas is not a place to list dogs looking for a home, see the DDEAF adoption page for that purpose. Please do not ask us to include foster dogs in your profile.)      Yes    No

How do you communicate with your deaf dog (check all that apply):

  Body language or gestures Standard dog obedience hand signals
  Homemade signs ASL or your national sign language
  Dog #1 Dog #2
Dog's name:
Breed:
Age:
Reason for deafness: Born deaf
Disease
Old Age
Trauma
Other
Unknown		 Born deaf
Disease
Old Age
Trauma
Other
Unknown
What would you like people to know about your dog? Where did you get him or her? What made you choose them? Is your dog a trickster, a therapy dog, a title holder? Does your dog have a website? Brags are encouraged!
Did you know this dog was deaf when you got it? Yes No Yes No

About Your Other Family Members
(Human) family members:
Is anyone in your family deaf? Yes    No     If so, who?

Pets besides your deaf dogs:
Do any of these other pets have special needs?   Yes   No

Comments

The Deaf Dogs Education and Action Fund (DDEAF), a non-profit organization, would like to include the information submitted on this form in its database of owners of deaf dogs. The goal of this database is to increase existing knowledge of deaf dogs and thus improve the lives of deaf dogs everywhere. DDEAF would also like to organize a gathering of owners of deaf dogs. If you opt to permit DDEAF to use your information, they may send you a limited amount of email in the future. DDEAF will not share your information with any third party.

May DDEAF include your information in its database?    Yes    No

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