Interest List | Good Dog! Canine Services

Please fill out the below section if you'd like to be notified when the next application period opens.

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

CA Residents ONLY: We plan to use RC Self-Determination Funding

Unsure at this time

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