Basic Information Form - Facility Dog Program
Service Dogs Alabama
Name of the Facility/Organization
Type of Facility/Organization
Please Select
Nonprofit Organization
School
Governmental Agency
Address
City
State
Zip
Email
example@example.com
Principal/Director
Have you discussed having a Facility Dog with your administrators?
Yes
No
Are you prepared or the financial and time commitment that a Facility Dog will require?
Yes
No
Most of our dogs are Labrador Retrievers, will this breed fit your lifestyle?
Yes
No
Why do you think a Facility Dog will be a good fit for your organization?
What outcomes do you think might be improved with the addition of a Facility Dog
By checking this box, I understand Service Dogs Alabama reserves the right to deny services to any applicant who does not meet the criteria necessary for placement of a Facility Dog or who requires services not within the guidelines or capabilities of the organization. It is understood and agreed to that placement of an animal will require the fulfillment of the care and training guidelines of Service Dogs Alabama.
Name
Date
/
Month
/
Day
Year
Date
Submit
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