California Service Dog Academy Pet Program Registration Form

Please Note: CSDA will NOT accept the following into group classes:

  • Dogs under 6 months of age
  • Wolf/Dog hybrids
  • Pregnant dogs
  • Dogs in heat
  • Behavior aggressive dogs
  • Dogs that are ill
  • Dogs with disabilities (Unless written consent from veterinarian)


Children are NOT permitted to come to class unless permission is given by trainer


Completing this registration form does not guarantee enrollment into training class

you will be emailed of your acceptance into the program. Please keep an eye out for an email from CSDA and check your spam!


All classes will be held in Visalia, California in person. No training for the pet program will be conducted virtually.


Completion of this program does NOT designate the handler as a certified trainer. This program does NOT certify your dog as a service dog and this is NOT service dog training.This program is NOT endorsed or approved by ADI.

Owner Information











Emergency Contact Information






Dog Information




Weight in pounds



Canine Health


Current Vaccinations

Includes:
  • Rabies
  • Bordetella 
  • Canine Parvovirus
  • Canine Influenza Virus
  • Canine Distemper Virus 
  • Canine Parainfluenza Virus
  • Canine Adenovirus 2
  • Leptospirosis Virus
  • Any Others

Canine Diet


Canine Behavior and Personality












Canine Training History