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Announcements
Congratulations to the teams who have passed their lessons in November!!! Triton-Lesson 3, Copper-Lesson 6, Elsie-Lesson 1, Conall-Lesson 6, Clover-Lesson 3, Scooby-Lesson 6, and Roo-Lesson 7!!!
Congratulations to the teams who have passed their lessons in October!! Falkor-Lesson 3, Triton-Lesson 2, Conall-Lesson 4, and Conall-Lesson 5!
Congratulations to the teams who have passed their lessons in September!! Padfoot-Lesson 11 and 12, Paxton-Lesson 4, Amelia-Lesson 6, Scooby-Lesson 5, Sancho-Lesson 1, Roo-Lesson 6, Cletus-Lesson 1, and Copper-Lesson 6!
Congratulations to the teams who have passed their lessons in August!! Koda-Lesson 1, Echo-Lesson 1, Drax- Lesson 8, Jousuke-Lesson 1, Juno-Lesson 10, Cor-Lesson 5, Chiki-Lesson 7, Clover-Lesson 2, and Luna- Lesson 12!
Congratulations to the teams who have passed their lessons in July!! Calum-Lesson 5, Falkor-Lesson 1, Scooby-Lesson 3, Amelia-Lesson 4, Juno-Lesson 9, Drax-Lesson 7, Gamora-Lesson 3, Clover-Lesson 1, Cor-Lesson 4, Drogo-Lesson 1, Triton-Lesson 1, Teddy-Lesson 8, Chiki-Lesson 6, Falkor-Lesson 2, Scooby-Lesson 4, Eddie-Lesson 3, and Amelia-Lesson 5!!
Service Dog Application
General Information
First Name:
Last Name:
Age:
Gender:
Male
Female
Address:
City:
State:
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip:
Phone Number:
Email Address:
Employer:
Occupation:
Marital Status:
Single
Married
Divorced
Widowed
Person Needing Service Animal
Does someone else need the service animal:
Yes
Have you or are you currently serving in the military?
Yes
If you have or are serving in the military please be aware that you will need to provide proof of service. Proof can be shown with a letter from the VA, DD214, or DFAS pay stub.
First Name:
Last Name:
Age:
Gender:
Male
Female
Address:
City:
State:
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip:
Phone Number:
Email Address:
Employer:
Occupation:
Marital Status:
Single
Married
Divorced
Widowed
Disability Information
*All information is confidential and will only be used to determine the need and priority for a service animal.
Primary Diagnoses:
List any other medical conditions:
List any medications you are taking:
How does your medical condition affect your everyday life?
What are your limitations?
General Information
How active is your lifestyle?
What are your daily physical activities?
What is your primary form of transportation?
What type of residence do you live in?
Is it fully fenced? If yes, what type? If no, how will you exercise the animal?
What are the ages and names of others living in your household?
List all pets that reside in your home:
What type of Service Animal are you seeking?
What do you think a Service Dog is?
What tasks do you want the animal trained to do?
Are you dedicated to excercising the service animal?
Do you make enough money to feed and pay for the Service Animals expenses, which include but are not limited to Vet Care, Grooming, Training Expenses, etc.? If no please explain.
Do you understand that a Service Animal requires a lifetime of training?
Are you willing to educate yourself pertaining to the Laws regarding Service Dogs and the ethics that relate to them?