Service Dog Application

First name

Last name

Address

Phone

Email

Who will be the primary handler for the service dog?

Is this your first service dog?

Yes

No

Do you currently have other animals in the home? If yes, please list species, ages and temperament

Have you previously worked with a service dog or professional trainer?

Describe a typical day in your home (work schedule, activity level, quiet time, etc):

What support are you seeking from a service dog?

What does success with a service dog look like to you one year from now?

Which statement best reflects your expectations?

I am seeking a fully trained dog with minimal ongoing involvement

I understand this is a training partnership requiring daily engagement

How much time can you realistically dedicate to daily structure, training and handling?

Less than 30 minutes

30-60 minutes

1-2 hours

More than 2 hours

How do you typically respond when an animal is anxious, reactive or struggling?

Why do you feel drawn to Golden Touch and the PAWS ™ philosphy?

I understand that service dog placement is selective and not guaranteed

I understand that this is not a purchase but a long term training partnership

I am willing to follow structured guidance and professional recommendations

I understand timelines vary based on dog readiness and handler alignment