Application to become a Volunteer - THERAPY DOGS NATIONWIDE

Visiting VolunteerSupporterCadet

First Name *

Surname *

Street Address *

City

County

Postal Code

Tel No.

Mobile Phone

Email Address *

If applying to register a cadet (aged 7-17)

Child's Name

Child's Birthdate

Child's Sex

Relationship to Child

Dog's Name(not needed for supporter or cadet application)

Breed

Dog's Age (must be over 9 months of age)

Dog has lived with me for a minimum of 6 months

YesNo

Conventional VaccineTitreNosodes

Have you been a member of another Therapy Dog Charity or organisation? If so, who? *

By clicking submit below you agree that:

You are over 18 years of age

You are applying to become a volunteer with Therapy Dogs Nationwide

You have read and understood our privacy policy

You and your dog(s) are not currently registered with another therapy dog charity

You will NOT be taking your dog to your place of work