Welcome to Pets & People

_{Fields denoted with * are required}

First name *

Last name *

Email address *

Cell phone *

Street address *

City *

State *

Zipcode *

Dog or cat? *

Breed *

Is your pet a rescue? *
Yes No

Pet's name *

Pet's date of birth (Pets must be at least 18 months old to be certified) *

Date of last rabies vaccination. *

Has your dog or cat ever scratched, nipped or bitten anyone? *
Yes No

Is this pet your Service Animal or Emotional Support Animal? *
Yes No

Does your dog exhibit any signs of resource guarding? *
Yes No

Are you currently, or have you been in the past, certified with any other pet therapy organization? *
Yes No

Has your dog earned a Canine Good Citizen certificate? *
Yes No

How may we use your and your pet's name and photograph?
Your Name
Your Photo
Pet Name
Pet Photo

How did you find out about us? any other comments?