Step 2 – Renew Membership Contact Form

Thank you for renewing your Pets and Friends membership dues!

There is one more step to finalize your renewal:

In order to ensure we have the most up-to-date information, please complete the below form.

If you have any questions, please contact info@petsandfriends.org.

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.