Warrior Application

Thank you for applying for a service dog from Leashes of Valor. This is part one of our comprehensive application process and is used to determine your eligibility for our program. Once you submit this initial application, we will be in touch with you within 10 business days.

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Your Personal Information

Your Name*
Your Email Address*
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Address*

More About You

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Type of Discharge*
Please upload your DD-214 Member 4.
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Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 25 MB.
    Please upload your VA rating letter.
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    Max. file size: 64 MB.
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