Registration

The first step towards greater independence 

Are you interested in a mobility assistance dog? You can use this form to get in touch with us, with no obligation.
We’ll take the time to answer your questions.

Fields marked with an * are mandatory.

Your contact details

Your mobility

Every day is different – tell us what applies to you.

Support in your daily life

An assistance dog is trained to meet your individual needs. What would make your daily life easier? (You may select more than one option)
(Multiple selections allowed)

Comments

Would you like to tell us a little about yourself, your daily life or your wishes?


Thank you very much for your interest in an assistance dog.
You will receive an automatic booking confirmation, which should be regarded as an expression of interest.

We will contact you in the next few days and look forward to meeting you.


Please agree to our privacy policy if you wish to register as someone interested in assistance dogs.