Caring Animal Partners: Pet Partner Application

Pet Partner Questionnaire / Application
Caring Animal Partners
PO Box 1304
New London, NH 03257
603-927-4046
nhcap@tds.net
Caring Animal Partners certifies Therapy Pets. They need to have stable temperaments and friendly, easy-going personalities. We do not certify Service Pets or Emotional Support Pets. Service Pets are trained to perform tasks and to do work that eases their handlers’ disabilities. Unlike service dogs, therapy dogs are encouraged to interact with a variety of people while they are on-duty including petting the therapy pet. CAP covers certified teams under our own liability insurance. CAP only insures volunteer Therapy Teams and cannot insure people who have a Therapy Pet as a part of their work assignment. Please contact your employee to make sure they have insurance coverage for you.

At this time we are requiring all our pet partners to be up to date on their Covid vaccinations via CDC guidlines.
Full Name *

Prefix First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail *
Veterinarian *
Kind of Pet *
Pet's Name *
Age *
Sex *

Male Female
Breed *
Neutered

Yes No
Spayed

Yes No
Vet Immunization Record: Titers Accepted. Copy Attached *

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Cancel of
Rabies Renewal Date

Month Day Year
Are you up to date on Covid Vaccinations via CDC guidelines?

Yes No
What are your reasons for becoming a CAP volunteer? Where would you be interested in visiting? *
Does your dog have an American Kennel Club "Canine Good Citizen" certification? Go to: http://www.akc.org/products-services/training-programs/canine-good-citizen/ * *

Yes No
Please attach a copy of you CGC

Browse Files

Cancel of
If no, does your dog have these basic skills:
Sits

Yes No Maybe
Down

Yes No Maybe
Stay

Yes No Maybe
Heel

Yes No Maybe
Come

Yes No Maybe
Walks on loose leash

Yes No Maybe
How does your pet react to:
Other dogs
Other cats
Children
Strangers
Has this animal ever acted in a threatening or menacing manner towards an individual or group of individuals or other animals? (Threatening/menacing includes: overt staring, growling, snarling, snapping, barking at, lunging toward or biting) *

Yes No
If yes, please describe
Does this animal show any tendencies toward food or toy guarding? *

Yes No
If yes, please describe
Is there any physical reason not to touch your dog's body - any parts that are sensitive or tender?

Yes No
If yes, please describe
Are there any situations we should know about regarding you and your pet's participation in this program? (Areas sensitive to touch, hearing loss, arthritis, etc.
What is this animal's favorite game(s):

Firsbee/Catch Chase games Pounce games Find it games Fetch and return Tug of war Chew toys Wrestling Agility/Obstacles
Please tell us about any obedience training your dog may have had.
How do you discipline/correct this animal?
What does this animal do when it becomes stressed?
Please tell us about your interests, skills and business background that you might be willing to share with us to "help CAP grow".
I understand that I am assuming complete responsibility for my pet regarding Caring Animal Partners activities and visits. Pet Handler &/or Owner Signature *

Clear
Date *

Month Day Year
Fees: Membership $20.00 / Evaluation $50.00

Make checks payable to CAP and send to:

Caring Animal Partners
PO Box 1304
New London, NH 03257
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Pet Partner Questionnaire / Application