Dogs and Partnerships - Apply for a Canine Partner

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For detailed information about who can apply for a Canine Partner and how the partnership works please download our free information leaflet "Who Can Apply" (PDF 15.5KB)

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 complete our online form and we will send you an application pack. Your details will be treated confidentially. Fields marked with an asterisk * are required.

Title
First Name*
Surname*
Address*
Postcode*
E-mail Address*
Telephone Number
Please supply brief details of your disability and tell us how you think you would benefit from having a Canine Partner

How did you hear about Canine Partners?

If you prefer, you can print off the Application Form and complete it. Click here for a printable version. Please send it to:

The Partnership Office Elizabeth and Wesley
Canine Partners
Mill Lane
Heyshott
Midhurst
West Sussex
GU29 0ED

Tel: 08456 580 480
Fax: 08456 580 481

Apply for a Canine Partner

Information about who is eligible for a Canine Partner, how you can apply to become a Partner and the application process.