preapp

PawPADs Assistance Dog Application Request

* required

* What type of Assistance Dog are you seeking?

Service Dog Diabetic Alert Dog Facility Dog

NOTE: PawPADs does not train PTSD, Emotional Support, or Psychiatric Service Dogs.

* What Type of Diabetes?

* Who will be the primary person the DAD is for?

Myself My Child Other

* Relationship

Name

* Age

* First Name

* Last Name

* Email Address

PawPADs does not rent, sell, or share your information in any way.

Confirm

* Street/Mailing Address

* City

* State

We only serve 200-250 miles from Lakeville, MN

* Zip Code

Phone Number

Briefly describe your need and how you envision an Assistance Dog could help:

We're here to help you get an Assistance Dog if at all possible!

* I've reviewed the criteria and requirements for a PawPADs assistance dog

Would you mind sharing where you heard about PawPADs?

Comments

revised 1/19