Custom K-9 Preliminary Application

Best way to contact you: *
 
Have you ever been convicted of a felony? *
Have you ever been investigated for animal cruelty or neglect by a humane organization? *
 

Please tell us which program you are interested in? *
Is anyone in your household allergic to pets? *
 
Which living situation best fits your current/expected circumstance? *
 
Which is your dominant hand/side? *
Please indicate the devices that you use: *
 
Please check all of the modes of transportation that you use regularly: *
 
What type of task training do you require? Please check all the tasks that apply. *
 
How much experience do you have in training obedience? *
How are you planning to pay for the Service Dog? *
What method of payment are you planning to use? *
 
Have you read our FAQ and know how much our dogs cost, what services they can provide and our next availability to raise/train? *
No, seriously, have you actually read them? *
Do you understand and commit to being an ambassador for Custom K-9 Service Dogs, as well as for the entire service dog community, and that you will be expected to maintain your dog’s appearance and manners, as well as your handling skills. *
 
I attest that I have read the Frequently Asked Questions and understand the services and pricing of Custom K-9 Service Dogs. *
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I attest that the information I have provided above is accurate, truthful, and up-to-date to the best of my knowledge. *
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(Parent or guardian signature if applicant is a minor)
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