020 3380 8037
info@autismlifedogs.com

Changing Lives -
one paw at a time

Apply for a dog

Fields marked with an * are required

Family Details


Child's Details


Health

Sensory Processing

Behaviour, Interests & Education


Family Life


Housing Information


Lifestyle

Please, describe the child’s typical daily schedules and activities. This information will give us some insight into what they do, how they spend their time and environments into which they regularly go.


I confirm I have read the privacy policy located here