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Wags Application Form

* Denotes required fields

General Information

* Do You Speak a Second Language?
* Have You Ever Done Dog Therapy Work? (With your current dog)
* Are You Currently Dog/Therapy Certified?

Reference Information (Not a relative please)

Emergency Contact Information

Dog Information

* Spayed/Neutered
* Has Your Dog Attended Any Obedience Classes?
* Is Your Dog Currently On Year Round Flea Protection?
* Does Your Dog Live With You?

Personal Statement

Volunteer Shifts

* Please check the days you are available to volunteer
* A minimum requirement for volunteering is two shifts per month to keep your dog skilled at patient visits.
* Are You a Year Round Resident at the Address Listed Above?