(This form MUST be completed in the name of the applicant)
Please note that applications for Service Dogs for Children with Autism must be received prior to the child's 7th birthday.
Address listed MUST be the address of the applicant
If your state is not listed in the drop down menu, PAWS currently does not have Field Representative coverage in your area. We cannot serve areas without a Field Rep. Please check back to see if our coverage has expanded in the future.
PAWS contacts all applicants via e-mail. If you do not enter a valid e-mail address PAWS will not be able to contact you regarding your status or next steps.
This person may be asked to sign a form outlining the agreement to provide financially for the upkeep and care of the dog.
Please note that size preference cannot be guaranteed at this point and specific breed/size needs may increase the wait time for a dog
Meltdowns at home
Meltdowns at school
Meltdowns in public
Kicking, hitting, pinching, or biting
Fixating on specific objects
Not sleeping well
Anxiety or fears of places or objects
An ongoing education program