PRO-TRAIN SERVICE DOG APPLICATION FORM
Pro-Train, 1544 Avohill Dr., Vista, CA 92084, Phone 1-877-BAD DOGS

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    EMPLOYMENT INFORMATION:

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    GETTING TO KNOW YOU

    Your Disability:

    Your Limitations:

    Have you ever had a Service Dog?
    YesNo

    If "Yes" explain:

    What would you like the Dog to do for you?

    LIVING ARRANGEMENTS:

    What type of dwelling do you reside in?*

    Others(Please Explain):

    Do You*

    Other Pets:

    OTHER MEMBERS OF YOUR FAMILY:

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    Relationship:

    Age:

    Full Time/Part Time
    FTPT

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