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Emotional Support Dog Registration Application

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Emotional Support Dog Registration Application

Pups of Hope – Emotional Support Dog Registration Application

Apply to Register Your Emotional Support Dog

Emotional Support Dogs provide comfort, grounding, and emotional stability for individuals experiencing anxiety, depression, trauma, or other emotional challenges. This application helps us understand your needs and confirm that your dog is an appropriate emotional support companion.

Applicant Information

Full Name *

Email Address *

Phone Number *

Home Address *

Dog Information

Dog's Name *

Breed (or mix) *

Age *

Weight *

Is your dog vaccinated? *

Is your dog spayed/neutered? *

Upload a photo of your dog

Emotional Support Need

Do you currently experience any of the following? (Select all that apply) *

Anxiety or panic episodes

Depression or emotional instability

PTSD or trauma‑related symptoms

Difficulty sleeping

Social or situational stress

Need for emotional grounding or comfort

Other (explain)

How does your dog support you emotionally? *

How long have you had your dog? *

Behavior and Temperament Check

Does your dog show the following behaviors? (Yes / No) *

Calm around people *

Non‑aggressive *

Responds to basic commands *

Comfortable in public settings *

Not easily startled *

Shows emotional awareness toward you *

Anything else we should know about your dog's behavior?

Requested Documentation

(Select all that apply)

Emotional Support Dog ID Card

ESA Certificate

ESA Letter (if applicable)

Digital Registration

Physical Badge or Tag

Agreement

I confirm the information provided is true. *

I understand that Emotional Support Animals are protected under federal housing laws, not public access laws. *

I understand this registration does not make my dog a service dog. *

I agree to keep my dog well‑behaved and under control at all times. *

Application Fee: $175.00

You will be redirected to complete payment after submitting this application.

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