Request for Assistance
Please complete this form to request assistance. We utilize email as our primary mode of communication. Kindly check your email for any relevant correspondence. If you lack access to your email account, you may send us a message through The Sensible Dog Project Facebook page after completing the form. If neither of these options is suitable, please indicate your preferred method of communication.
Full Name
*
First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Can we text you at this number?
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Yes
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Address
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Street Address
Street Address Line 2
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Email
*
example@example.com
Preferred method of communication
Alabama county in which you reside
*
What is your age group?
*
Please Select
Under 18
19-62
65 - 75
Over 75
How many adults live with you?
How many children live with you?
How may we assist you today?
Has your dog(s) ever bitten a person?
*
Please Select
Yes
No
Unsure
Has your dog(s) ever bitten another animal or pet?
*
Please Select
Yes
No
Unsure
Do you drive or have transportation? Let us know if you are able to pick up food or get your pet to an appointment or need assistance.
*
Any other information you want to share with us?
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