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