New Client Information Form
Thank you for taking the time to inquire about our Service Dog Training Program. Please complete the information below and a representative will contact you so we can assist you.
What's your first and last name?
Where the confirmation will be send to
What type of services do you require?
Basic obedience for my pet
I have a dog and would like it to be trained as a service dog to assist me in my daily life
I require a service dog but do not have a dog yet
Services Dogs are trained to perform specific tasks to assist a person with a disability. What area do you see a service dog assisting you?
Medical Alert (seizure disorder)
Do you have any pets in the house currently?
If so, how many and what types?
Do you understand the level of care a service dog needs?
Do you possess the ability to provide financially, physically, and emotionally for a dog?
On a scale of 1-5, how ready are you to commit to a service dog and the training required?
Additional information you'd like to share with us.
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