Merlin's Kids "Personal Service Dog" Training Class
Please fill out this survey if you plan to enroll in our Personal Service Dog, (group service/therapy dog training class) for 2016-2017 academic year.

This course is designed for individuals who want to train their own dog to become their own service dogs, university students learning to handle service dogs, and Merlin's Kids community members who foster.

*Note: your dog MUST be pre-approved by a Merlin's Kids staff member prior to enrolling in the course.
Name *
Email *
Street Address *
Phone *
Best way to contact *
Required
Dog's Name *
If you are fostering a MK service dog feel free to put "I don't know yet"
Dog's Age *
If you are fostering a MK service dog feel free to put "I don't know yet"
Dog's Breed (if known) *
If you are fostering a MK service dog feel free to put "I don't know yet"
Dog's Gender and Alteration Status *
Please select M/F AND Spay/neutered or intact
Required
What purpose are you going to train your dog for? *
Please briefly tell us what type of service dog you are going to train? Please be as specific as possible. (Health alert, physical support, PTSD, autism, etc.)
Behavioral History *
Are there any behavioral issues we should be aware of? Are there any particular behaviors that you would like to focus on? If you are fostering a MK service dog, put "I am fostering."
Has your dog been evaluated by a Merlin's Kids staff member to determine if he/she is an appropriate service dog candidate? *
If not, please email merlinskids.admissions@gmail.com to schedule an evaluation. Please understand that if your dog is NOT the right fit for a service dog, he or she may not be eligible for enrollment.
Has the potential recipient of the service dog been deemed a good candidate to have a service dog? *
(Ie: Do they qualify under the American Disabilities Act, and/or have been personally evaluated by a Merlin's Kids staff member?) If not, please email merlinskids.admissions@gmail.com to set up an evaluation. Please note if the recipient is NOT the right fit to have a service dog, the dog or handler may not be eligible for enrollment.
Are you currently affiliated with a Merlin's Kids University Partner?
I understand that I may be charged a fee for tuition. *
Note: Fees may be negotiable depending on dog's level of training required and potential subsidies available.
I understand that classes are a combination of conference calls, online homework, and in-person training sessions. *
Note: Please understand this is a time commitment consisting of 45-minute calls every week for 12-16 weeks, submitting homework assignments on a weekly basis, and in-person training as scheduled by your coordinator in your area.
Any comments, questions or concerns? Please address them here.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy