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​Service Form

Thank you for your interest in our courses! Please select your preferred course level: beginner, intermediate, advanced, or service dog. Fill out the form in the Dropbox with your options, and once we receive your submission, we will review the information and get back to you as soon as possible. We look forward to assisting you on your learning journey!

Date
Month
Day
Year
Services

Nominate a disabled veteran for a free service dog through our program. Your nomination can significantly impact their life. Thank you for supporting our mission to assist those who have served.

Nominee form for Disabled Veterans Service Dog Program

Date of Birth Nominee
Month
Day
Year

Before you submit please review the information is all correct by the best of your knowledg.

Please note: We will be contacting your nominee please make them aware. Also the nominee does have to be a disabled veteran by federal and state standards.

743255643

Rural Hall, NC, USA

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