Service Animal Registry of America (SARA) TM SM
Service Animal Trainer Registration/Certification Application Form

Fee $45.00 + $7.00 S/H - Includes ID Cards & Certificate
TX residents add 6.75% sales tax to total

SARA, PO Box 607, Midlothian, TX. 76065

Name: _____________________________________________________

Address: ___________________________________________________

City:____________________________  State:________ Zip:__________  

Organization/Business Name:  __________________________________

Home Phone: ____________________ Work Phone:____________________

Email:__________________________________________________________

Website URL:____________________________________________________

Species of Service Animals you have trained:_________________________

Estimated number of animals trained to date: _________________________

Year that you trained your first Service Animal: _______________________

Estimated number of Service Animals trained to date: __________________

How did you obtain your training skills?___________________________ ________________________________________________________________

List specific types of Service Animals you train: ______________________

_______________________________________________________________

List Service Animal tasks you have trained:__________________________

_______________________________________________________________

What is your service animal specialty?:______________________________

Elaborate on your animal training education and experience:____________
________________________________________________________________________________________________________________________________________________________________________________________________

References:____________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

I hereby attest that I am a competent animal trainer and am qualified by education and/or experience to train service animals to assist the disabled. I agree to observe and comply with the SARA Certified Trainer Code of Ethics.  I declare under penalty of perjury that the foregoing information is true and correct.
 

Signature:_____________________________         Date:______________
   
 
ATTACH ADDITIONAL INFORMATION IF NEEDED 
 
 
 SARA CERTIFIED TRAINER CODE OF ETHICS

As a SARA Certified Trainer SM. I agree to: Maintain high quality, professional standards in the care and training of animals, my business practices, and other areas of professional conduct; comply with all laws and regulations pertaining to the welfare of animals; engage in the humane treatment of animals and in the responsible handling, training, breeding, and selling of animals; and deal fairly and honestly with my clients.