Name *

First Name

Last Name

Phone *

(###)

###

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My dog has completed the following. *

Please mark all that apply

AKC STAR Puppy

AKC Canine Good Citizen

AKC Community Canine

AKC Urban CGC

AKC Trick

None. I am just getting started!

I am planning: *

Mark all the apply to you and your dog.

To do Therapy work at my place of business.

To do Therapy work on a volunteer basis at different locations.

To do Therapy work with a specific organization as a volunteer.

I have no idea. I just want to bring joy to others with my dog!