Renew Membership Step 2

Thank you for renewing your Pets and Friends membership! We’re most appreciative of your ongoing support to our pet therapy program!

Please take a moment to fill out this form and remember to include a copy of your pet’s updated vaccination certificate/record for our records. If you have any questions, you can reach us at info@petsandfriends.org. Thank you!

 

Volunteer Information

Volunteer First Name*

Volunteer Last Name*

Volunteer Email*

Today's Date* (MM/DD/YYYY)

Street Address*

City*

Postal Code*

Province*

Volunteer Phone Number*

Volunteer Facility* (If not currently visiting, please indicate when visitations stopped and why.)

Pet Information (1)

Pet Name*

Birthdate (MM/DD/YYYY) (If unknown, please indicate best known age of pet)

Pet Breed*

Vaccinations (If vaccine does not apply, write 'N/A')

Please note: Pets and Friends requires proof of your therapy pet's most up-to-date vaccination record/certificate. There are two (2) ways to do this: by uploading here in this contact form or by emailing info@petsandfriends.org.

Dogs: DA2PP* expiry date (MM/DD/YYYY)*
If this does not apply, write "N/A"

Please check here if you are using titer tests for DA2PP*
If this does not apply, select "No"

DA2PP* = Distemper, Adenovirus-2/Hepatitis, Parainfluenza and Parvo Virus

Dogs: Rabies expiry date (MM/DD/YYYY)*
If this does not apply, write "N/A"

Cats: Feline distemper (panleukopeni) expiry date (MM/DD/YYYY)*
If this does not apply, write "N/A"

Cats: Rabies expiry date (MM/DD/YYYY)*
If this does not apply, write "N/A"

Upload proof of vaccination below.
If unable to scan (or photograph) documents for upload, please contact info@petsandfriends.org to arrange a mailed copy.

Pet Information (2) - Optional

Pet Name

Birthdate (MM/DD/YYYY)

Pet Breed

Vaccinations (if vaccine does not apply, write 'N/A')

Dogs: DA2PP* expiry date (MM/DD/YYYY)
If this does not apply, write "N/A"

Please check here if you are using titer tests for DA2PP*
If this does not apply, select "No"

DA2PP* = Distemper, Adenovirus-2/Hepatitis, Parainfluenza and Parvo Virus

Dogs: Rabies expiry date (MM/DD/YYYY)
If this does not apply, write "N/A"

Cats: Feline distemper (panleukopeni) expiry date (MM/DD/YYYY)
If this does not apply, write "N/A"

Cats: Rabies expiry date (MM/DD/YYYY)
If this does not apply, write "N/A"

Upload proof of vaccination below:
If unable to scan (or photograph) documents for upload, please contact info@petsandfriends.org to arrange a mailed copy.

Thank you for renewing your Pets and Friends membership! If you have any questions, please don't hesitate to contact us by email at info@petsandfriends.org.