I understand that an Emotional Support Dog is different from a trained Service Dog and does not have the same public-access rights as a Service Dog.*

I understand that completing Walking With Honor's ESA Program does not give my dog permission to enter businesses or other locations where pets are prohibited.*

I understand submission does not guarantee acceptance into the program.*

I agree to participate in interviews and assessments if selected.*

I acknowledge that Walking With Honor is a federally recognized 501(c)(3) nonprofit organization. I understand that participation in the program is subject to the organization's policies, procedures, and eligibility requirements.*

I certify that the information provide is true and accurate.*

I understand that Walking With Honor may conduct a background check as part of the application and placement process. I authorize Walking With Honor to obtain information regarding my criminal history and other records deemed necessary to evaluate my eligibility for participation in the program.*

I understand that any information obtained will be used solely for program-related purposes and will be handled in a confidential manner. I have read and understand the above statement and authorize Walking With Honor to conduct a background check.*