Companion Dog Application
Not all of our program dogs make it to be paired with a veteran to become service dogs. These dogs can be adopted out to qualifying individuals for a small adoption fee. Please fill out the application and you will be contacted by email as dogs are available. Thank you!
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Telephone number *
Your answer
Email Address *
Your answer
Preferred Contact Method *
Required
Are you a Veteran? (not required to receive a dog) *
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