Program Application

If you are interested in joining our program, please fill out the form below, and we will get back to you with more information within 3-5 business days.

First name

Last name

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Would you prefer a Male or Female dog?

We will strive to get your gender preference.

How would you describe your level of activity during the day?

Are you interested/able to participate in sports or other activities with your dog?

Yes

What are some expectations you have for your service dog?

Do you plan on traveling via plane, train or bus in the next 12 months?

Yes

What public spaces do you visit frequently?

Please tell us what you need from a trained dog and what temperament suits your lifestyle the best.