You Are Here : Application Form for a Canine Partner
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Application Form for a Canine Partner
For information about who can apply to be matched with a Canine Partners Assistance Dog view and/or print the "who we can help" page. Please see our "Contact Us" page for all other enquiries.
If so, please call our Partnership & Aftercare Department on 01730 716 043 or complete the form below and we will send you an application pack. Your details will be treated confidentially.
- Are you 18 years of age or over?
- Do you have a disability that affects your quality of life?
- Do you feel that you would benefit from the help a Canine Partner can provide?
- Do you want the responsibility of looking after and working with one of our dogs?
If so, please call our Partnership & Aftercare Department on 01730 716 043 or complete the form below and we will send you an application pack. Your details will be treated confidentially.
If you prefer, you can print off this application form (symbol above form gives a print view), fill it in and send to:
The Partnership Office
Canine Partners
Mill Lane
Heyshott
West Sussex
GU29 0ED
Tel: 01730 716 043 or 08456 580 480; Fax: 08456 580 481
Canine Partners for Independence. Registered in England No. 2516146. Charity Commission Registered No. 803680. Scottish Registered Charity No. SCO39050
