Your Name
Your Address (Address, City, State or Province, Zip code, Country)
Your phone number
Your email address
FOR SERVICE DOGS - Please state Your Dog's Primary Type of Service
Primary Type of Service (please choose one of the following): :
Assistance Dog
Autism Dog
Companion Dog
Diabetic Alert Dog
Emotional Support Dog
Guide Dog
Hearing Dog
Mobility Assistance Dog
Psychiatric Dog
Rehabilitation Dog
Service Aid Dog
Therapy Dog
Other (Please specify)
FOR WORKING DOGS - Please state Your Dog's Primary Duty
Primary Duty: (Please choose one of the following)
Attack Dog
Cadaver Dog
Detection Dog
Emergency Medical Response Dog
Family Protection Dog
Guard Dog
Herding Dog
Hound Coon Dog
Hound Tracking
K-9 Dog
Military Dog
Police Dog
Pointer
Protection Dog
Rescue Dog
Retreiver
Search and REscue Dog
Service Dog
Setter
Sled Dog
Tracking Dog
Watch Dog
Other (please specify)
PREFERRED BREED -Your dog's breed
YOUR COMMENTS - Any comments you wish to make
USC.training
Instructors
Breeders
Email: Info@USC.life