Client Owned Dog Evaluation – Next Step Service Dogs

Name*

First Last

Email*

Phone*

Address - Current*

Street Address Address Line 2 City State ZIP Code

Mailing Address

Street Address Address Line 2 City State ZIP Code

Birthday*

Are you currently active military or an active first responder?*

Are you a veteran or retired first responder?*

Do you currently have a pet dog that you would like to have evaluated to train for service?*

What is your dog's age and breed?*

Please check all that apply*

Are you willing to commit to at least 6 hours per week at our training center to train your service dog for 3-6 months?*

How did you hear about Next Step Service Dogs?*