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Service Dog Consultation Application
First Name
*
Last Name
*
Phone
*
Email
*
Dog's Name
Dog's Age
Dog's Sex:
Male
Female
Male - Neutered
Female - Spayed
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Dog's Breed
Describe any previous training experience (both dog and handler)
Please list any accommodations you may require from the trainer, if any
Briefly describe the type of tasks you want the service dog to perform
What is your general availability for training sessions (ex. specific weekdays, time of day)
Do you already have a doctor's note stating you require a service dog?
Yes
Not yet
Has your dog ever bitten a person or another animal? If so, please describe the circumstances
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