Service Dog Registration Form

Owner's First Name

Owner's Last Name

Dog's Name

Retrieve Tasks

Retrieve dropped items

retrieve named item (cell phone

Retrieve glucose from fridge

Retrieve medication from designated spot

Fetch a beverage or snack from designated spot

Bring handler's phone

General Tasks

Retreive dropped/named items (cell phone, keys, medication, glucose, etc)

Open/close/hold open doors (for owners to pass through)

Open/close cabinets

Tug on clothing to assist in removal (socks)

Turning on/off light switch

Deposit garbage/recycling into the can

Carry mail from the mailbox to the house

Put items on a countertop

Thanks for registering to our event. See you there!

Never aim to be perfect, always strive to be better than you were yesterday.

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