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Name:_______________________________________________________________________________
Address:_____________________________________________________________________________
____________________________________________________________________________________
Phone:______________________________________________________________________________
E-Mail:______________________________________________________________________________
Dog's Name:_________________________________________________________________________
Breed:_______________________________________________________________________________
Age:________________________________________________________________________________
- _____ I am a registered therapy dog. I currently
visit a facility and can provide a letter of recommendation. I would
like to become a member of
 Please
sign the Membership Agreement form
with attached check made out to
for your annual membership dues. Return the following to address listed
below:
- Copy of your current membership as a Therapy Dog
Team and a letter of reference regarding your visits.
- Completed Membership Application Form
- Completed Membership Agreement Form
- Proof of Current Vaccinations from your Veternarian
- _____I am registered with another Therapy Dog organization
but not making visits. I would like to become a Dog B.O.N.E.S. member
by scheduling a registration/observation
test.
- _____I am not registered with a therapy dog organization
and would like to register for the Intro to Becoming a Therapy Dog
Team Workshop. Please return a workshop
registration form and provide:
- _____I am interested in becoming a P.U.P.S. Team Member. Please
send me information regarding the next Therapy
Dog Team Workshop. All P.U.P.S. members must provide:
- Proof of Vaccinations
- Proof of Obedience Training
Return this form to:
38 Garden Rd.
Scituate, MA 02066
* If you would like to include
your dog in our photo gallery please enclose a photo with this form.
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