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Apply for an Assistance Dog
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0800 966 342
Thank you for your interest in adopting a withdrawn or retired Assistance Dog/Assistance Dog in training. Please fill in the form below and the team will be in touch shortly regarding our waitlist.
Occupation of applicant(s)
Number of people living in the household
Do you have any other pets in your home?
Have you had a dog before?
Would you intend to leave the dog/puppy at home? If so, how frequently and for how long?
Describe your accommodation and whether you own or rent. Is it a flat/unit/apartment/other?
Is your property fully fenced?
Does the applicant or any family member have allergies to dogs?
Do you drive and have access to a car? You may be required to meet an ADNZT staff member or take the dog to the vet in case of an emergency.
Can you devote time to exercise your dog regularly?
Does the entire family support the application?
Please include any additional information you feel is relevant
Tick to digitally sign and confirm that the above information is true and correct
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Thanks for submitting!