Waiting list registration form

Name: Mira
Address: 1820 Rang Nord-Ouest, Sainte-Marie-Madeleine, Quebec, J0H 1S0, CA
Telephone: 450-795-3725

Apply to get a non-selected or retired dogs.

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.

Waiting list registration form

The characteristics of our dogs

Waiting List for non-selected or retired Dog

Personal Information

1^st responsible

Contact Information

2^nd responsible

Waiting list registration form

The characteristics of our dogs

Waiting List for non-selected or retired Dog

Personal Information

1st responsible

Contact Information

2nd responsible

1^st responsible

2^nd responsible