Form | Good Karma Assistance Dogs CIC

Client enquiry form

Thank you for your interest in Good Karma Assistance Dogs CIC. Please complete the form below with as much detail as possible. This information will help us understand your needs and those of your dog, allowing us to better assess how we can support you. All information provided will be treated with the strictest confidence.

Submit your details

Name *

Email address *

Phone number *

Address *

Date of birth *

Social media handle (fb , TikTok etc)

Anything we should know for in person (Allergies, when to call 999, full risk etc)

Proof of disability *

Dogs Name *

Dog Date of birth *

Dogs breed *

Is dog fully Vac, Wormed and Flea *

Yes
No
Only Vac

What option you after *

In person (limited to trainer locations)
Online
Hybrid

Task your looking form (min 3) *

Proof of vet clearance (can be given later)

Proof of third party insurance (can be given later)

Emergency contact name *

Emergency contact phone number *

Emergency contact relationship to you *

Once you hit 'send', you will receive an email confirmation from us regarding your submission.

Email us

karmadogtraining2024@gmail.com

Find us on social media