Membership Information Form Please complete this form to help us provide you with more information about how you can join Paws 4 Healing. Your Name First Your Email Phone NumberWhat City and State do you live in?CityStateAre you now, or have you ever been involved in Pet Therapy? Yes No If Yes, what organization(s)?If Yes, how long were you involved?What breed of animal do you want to register with?SelectFirst ChoiceSecond ChoiceThird ChoiceIf other, what is the species?If you want to register with a dog, what is the breed?What sex is your dog?Untitled Spayed Neutered What is the age of your animal?Why are you interested in volunteering with Paws 4 Healing?Tell us why you feel your pet would be a good therapy animal.Tell us about you and why you are interested in animal therapy. Please click the submit button to send us your information.NameThis field is for validation purposes and should be left unchanged. Help Paws 4 Healing continue to reach out and serve our local communities If you would like to support Paws 4 Healing with a donation, click the button below. Make Donation