Your email address:
Your phone number:
Parents name is applicant is a minor
What do you think an Assistance Dog can do for you?
Cause of Disability
Effects of Disability
You are applying for what type of assistance dog?
Mobility Assistance Dog
Autism Assistance Dog
Diabetic Alert Dog
CLICK HERE to go to description of dogs page
Pawsitive Action Foundation Inc. & The Canine Center,Inc
5701 Leon Tyson Rd Saint Cloud Fl 34771 407-461-6245 or 407-506-3818
Assistance Dog Training Application
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