Waiting list registration form

Apply to get a non-selected or retired dogs.

Mira Generic 3

The characteristics of our dogs

Each year, Mira assists at the breeding and birth of more than 200 puppies. They are intended to help beneficiaries living with a visual or physical disability or ASD, and each breed has its own temperament. Learn about the particular features of our dogs.

All fields are required, unless otherwise mentioned. Step 1 of 3

Waiting List for non-selected or retired Dog

Personal Information

1st responsible

Work Schedule

Contact Information

2nd responsible

Work Schedule (Optional)