Service Dog Training Application
Our Service Dog Trainer will review your information and contact you to schedule an interview call.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Advocate Contact Info (spouse/partner or designated person)
*
Do you have other pets in your home?
*
Yes
No
Do you have an area to potty a service dog?
*
Yes
No
Is your doctor on board with you having a service dog?
*
Yes
No
Have not talked to them about it yet
Are you willing to sign a release of information so that we may contact your doctor/LPCC?
*
Yes
No
Are you willing to take on the financial responsibility of caring and training your Service Dog?
*
Yes
No
Do you have any experience working with animals?
*
Yes
No
What can a service dog do for you to mitigate your disabilities?
*
Are you able to commit to exercises your dog and meeting their mental, emotional, and physical needs?
*
Yes
No
Are you aware that it usually takes at least 2 years to train a service dog?
*
Yes
No
Are you aware that many dogs do not make it as service dogs?
*
Yes
No
If the dog washes out of the Service Dog Training Program, what is the plan for where the dog will live out it's life as a pet?
*
Submit
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