Owner Trained

Upon receipt of your application fee, you will receive a link to the application documents within 10 business days.

Non Refundable
Service Dog Application Fee

owner trained service dog program
If you Qualify and...if your dog qualifies
we will assist you in training your own service dog

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Your Email *

Home Phone Number *

Cell Phone Number *

Work Phone Number *

Emergency Contact Phone Number *

Emergency Contact Name *

First

Last

What type of do do you have? *

What is the dogs age? / Sex? *

Has the dog been spayed or neutered? *

Yes No

Application fees *

Additional Comments *

Submit