Client Pre-Application

We are excited you want to be part of Atlas graphic of dog on woman's lap doing deep pressure therapy

!

Thank you for your interest in Atlas Assistance Dogs’ Team Certification Program. We are excited to learn a little more about you to determine if our program may be a good fit. To begin with, let's see if you are already in our system.

Contact Information

This information should be completed pertaining to the primary person for whom the dog is mitigating a disability (e.g. the Client).

First Name

Last Name

Email (guardian's if client is a minor)

Contact Information