Pawprints Waitlist Request Form

If you are interested in becoming a Pawprints Program volunteer, please complete the form below. Completed requests will be placed on the Pawprints waitlist. Pawprints Program Coordinators will be in touch to provide an updated status as well as to learn more about your experiences and interest.

Please note the following requirements:

Dogs must be at least 2 years old and registered with a therapy dog organization.
Teams must commit to volunteering twice a month for a period of at least one year.
Visits are scheduled Monday to Friday (mid-morning - late afternoon).
Weekends - Active teams will be notified if/when there is a weekend request.
Please include a copy of your therapy dog registration and a photo of your dog.
For any questions, please contact Lynn Belkin at 617-355-6743.

Owner's Name*

Owner's Phone Number*

Phone

Owner's Home Address*

Owner's Email Address*

Dog's Call Name*

Dog's Sex*

Male

Female

Dog's Breed*

Dog's DOB*

Therapy Dog Organization/Registration*

What location(s) are you interested in? Please note, all initial/screening steps take place in Boston.*

Upload copies of 1) your therapy dog registration, and 2) a picture of your dog:

Drag and drop files here or

Additional Comments (Optional)

Send me a copy of my responses