Application Forms

Canine Information Form

Tell Us A Little About Your Dog

Please answer honestly. Your responses are just for our information and will not exempt you from being enrolled in the program. It will be used as a guide to best train your pet for therapy work.

Name

First Name

Last Name

Phone

(###)

###

####

Canine Information

How many other animals live in the household?

Please describe dog’s relationship with each.

How do you discipline your dog?

Has your dog ever shown aggression toward any person or dog?

Yes

If yes, please describe.

Has your dog been enrolled in any previous training? If so when, where and how long?

Text Area

Please describe how your dog has been socialized outside the home:

Please list or describe any concerns/questions you have about your dog becoming a Therapy Dog:

Canine Information Form

Tell Us A Little About Your Dog

USA Therapy Dogs, Inc.