Interest List | Good Dog! Canine Services

Please fill out the form below and we'll be in touch as soon as we have information to share!

First name

Last name

Email

Phone

Address: City & State

Child's name and age

Please indicate where you are in the process. (For example, "We've researched service dogs and believe our child would benefit from one." "We're beginning to explore service dogs and their potential benefits for our child.")

Please select one of the following:

We plan to Fundraise

We plan to Pay the Fee for service

We plan to use state funding or foundation funds

Unsure at this time

Is there anything else you'd like us to know?

Stay in Touch

Please fill out the form below and we'll be in touch as soon as we have information to share!