Galactic K9 Service Dog Application
Please fill out this application to the best of your abilities! In order for your application to be accepted, we must also receive a letter from your medical professional stating need for a service animal and three letters of reference
1. family member or close friend
2. Professional reference (professor, employer, mentor, medical professional)
3. Your choice
Please have your medical professional and three references email their letters directly to:
GalacticK9Training@gmail.com
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Are you a minor? *
Are you a parent/guardian applying on behalf of a minor? *
If you are applying on behalf of a minor, please state your full legal name, pronouns, and birthdate here. Answer the rest of the application for your minor (Handler).
Full legal name of Handler (First, middle, last) *
If different from legal name, please share the Handler’s preferred/nickname/chosen name
Handler’s pronouns *
Required
Handler’s Address, City, State, Zip Code *
Cell Phone *
Please share your social media handle here (Instagram, Facebook, etc) *
Are you a veteran or former first-responder *
Emergency contact #1 information (First, last, phone number, email) *
Emergency contact #2 information (First, last, phone number, email) *
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