Service Dog In Training Policy Acknowledgment Form
Please review and acknowledge your understanding of the Service Dog In Training Policy by completing this form.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Service Dog's Name
*
Dog Breed
*
Handler's Relationship to Dog
*
Please Select
Owner
Trainer
Foster
Other
Have you read and understood the Service Dog In Training Policy?
*
Yes, I have read and understood the policy.
No, I have not read the policy.
Please describe any questions or concerns you have regarding the policy.
Date of Acknowledgment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
By signing below, I acknowledge that I have read, understood, and agree to comply with the Service Dog In Training Policy.
*
Acknowledge Policy
Acknowledge Policy
Should be Empty: