Service Dog Application Form Applicant's Name Applicant's Date Of Birth Parent/Guardian Name Email Phone Number Address Does your child have a medical support team to help us understand specific needs? Yes No Are you willing to travel to Barrie for the application process and the required training to meet the standards of the Personal Support Service Dog program? Yes No Are you prepared to attend all the mandatory training over a two-year period provided by Sweet Charity trainers? Yes No Are you prepared to ensure daily practice of the specific dog training methods employed by Sweet Charity, using the training log provided? Yes No Do you agree to follow the minimum public access expectations required by International Association of Assistance Dog Partners? http://iaadp.org/iaadpminimum-training-standards-for-public-access.html Yes No Have you spoken to your child about their desire to have a Personal Support Service Dog and the responsibilities a dog entails? Yes No Do you have other pets in the household? Yes No If you do have other pets in the household, please add details here. Are the pets socialized (friendly to other pets and people)? If yes, please give details Yes No Have you had any experience handling or training dogs? If yes, where, what type of training, when? Yes No Veterinarian Clinic Name Veterinarian Clinic Phone Number What are your expectations (both as a parent(s) and as the recipient) of the potential value of owning a Personal Support Service Dog? How do you and your support team believe a Personal Support Service Dog will support the specific needs for your child/youth and your family? Do you plan to have the Personal Support Service Dog accompany the child/youth to school and or work? (Explain) It is the family’s responsibility to gain the permission of the workplace or the school board; the training process can support this goal. Send
