Retrieving Independence

Request for Service Dog Application

Registration form heading

* First Name

* Last Name

* Email

* Address

* City

* State

* Postal Code

* Mobile Phone

* Phone

* Birthday

* Describe your needs as it relates to a service dog

Acknowledge and confirm the items below:

The total investment of an RI service dog is $50,000. Through generous donations we are able to offer our dogs below that cost. I understand my contribution to the total expense of an RI service dog is a minimum of $15,000.

I understand that a deposit of $5000 is required after application review to move forward. The remaining balance of $10,000 will be due in installments before training camp begins.

I understand there is a $200, non-refundable application fee. This fee is not applied toward the service dog placement fees.

I understand that I will be required to attend a 7-day training camp in Nashville Tennessee and I will have someone (adult, no children) accompany me through the entire camp.

I understand that to be considered for placement, the RI application review team must have access to my medical care team (this includes mental and physical health professionals).

I understand that RI retains ownership of the service dog for the lifetime of the working team and can remove the dog if care and conditions do not meet our standards.

I understand that if I am unable to care for my service dog or no longer need a service dog, RI will be notified and given first right of refusal to ownership of the dog.

I understand that an RI service dog is never to be sold or placed in another home.

Thank you for your interest. The RI team will review your information and if we feel we can meet your needs, you will receive an application to begin the process.

Welcome

We are excited that you are considering a service dog and have come to Retrieving Independence. Included is all the information you will need to gather and submit to begin the evaluation process. Please note, we place dogs with individuals 14-70 years old and we do not train hearing dogs or guide dogs for the blind.