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Service dog application form
Eligibility Requirements for a Service Dog:
Must be a military veteran or first responder.
Have psychiatric disorder that is medically substantiated by a physician or therapist.
Be physically and cognitively capable of participating in the training process, up to one hour per day of training.
Be able to independently command and handle their Service Dog.
Be able to meet the emotional, physical and financial needs of the Service Dog.
Be in a stable home environment.
Sixth ring provides service dog training at no cost. The acusition of a suitable service dog is the customers responsibility
This is not first come first serve, we have verry limitted rescources and try our best to offer our services to those we feel could most bennifit from them.
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Name
*
First and last name
Your answer
Email
*
Your answer
Phone number
*
Your answer
Are you retired from the military or retired first responder
Military
Police
Fire
EMS
other
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which service are you intrested in
*
evaluating my current dog
assistance obtaining a suitable dog
Required
Please list any pets in your home?
Your answer
Please list all people you live with.
Your answer
Please list work history for past five years including dates.
Your answer
current adress and adresses you have lived at over the last five years with dates
Your answer
Tell us a little about yourself your diagnosis current treatment plan and why you feel youd benifit from a service dog.
Your answer
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