PTO SUPPORT MEMBER FORM
Support member annual fee is $20. Membership fee is due by September 30.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Homeowners or Rental Insurance Carrier
Would you be willing to serve as a mentor to a new pet therapy team?
Please Select
Yes
No
List any skills you have that would help PTO (i.e. accounting, graphic design, woodworking, web design, hard worker, enjoy making phone calls, etc.
Which event(s) can we count on you to help with to benefit the organization?
PTO workshop
PTO evaluation
Special events (i.e. stress relief visits to local colleges during finals)
Training events
Celebration dinners
Other
Signature
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Pet Therapy of the Ozarks - Rules of Conduct for Visits
Please read the Rules of Conduct and sign below to indicate that you have read this document.
Handler and pet must pass the Pet Therapy of the Ozarks evaluation before being scheduled for visits.
Volunteer teams visit only approved facilities and places within them at pre-scheduled days and times. If, while making such a visit, a team is asked to visit another area within the facility, our insurance allows us to do so provided the person making the request has authority to do so.
Pets must be clean and well-groomed and free of internal and external parasites. Nails must be kept short to avoid scratching PTO clients. Animals must be in good health and free from any sign of gastro-intestinal disease for one week prior to PTO visit. Also female pets in season should NOT be taken on PTO visits.
Pets MUST wear PTO identification and rabies tag when working as a therapy pet. The pet’s PTO identification tag is to be worn ONLY ON SCHEDULED VISITS. Human volunteers MUST wear their PTO name badge during visits. Wearing the identification tag or name badge on an unapproved visit is a violation of PTO rules and is prohibited.
Potty your pet prior to the PTO visit. Carry a potty bag on all visits. If an accident happens, you must clean up after your pet both indoors and outdoors.
Dogs MUST be kept on a leash at ALL times during PTO visits, except when doing obedience demonstrations or tricks. Other animals must be kept under control, leashed, carried in carriers, and not running free. DO NOT PASS YOUR LEASH TO SOMEONE ELSE.
Do not force your pet into a situation if it shows obvious fear or agitation. If your pet is showing signs of stress, immediately remove yourself from the facility. Either call the facility or go back in without your pet and excuse yourself from the visit.
No abuse or harsh treatment of pets will be tolerated. Avoid loud reprimands. If your dog must wear a pinch collar, it must be covered with a scarf, as the public is often upset by them.
Do NOT place pets on the beds or in laps without permission.
State law prohibits animals in the kitchen area or dining area whether or not a meal is in progress. Do not take your pet into such an area, even if requested to do so.
If you have ANY incident involving a nip, bite, or any destruction of clothing or other items, immediately remove your pet from the facility and notify (1) your facility contact AND (2) a PTO board member.
Photos showing client faces must not be shared to social media - even if a client/client guardian gives permission. If a facility posts photos of faces on social media, those may be shared.
Members may certify more than one pet, but only one pet per member may be taken on a scheduled visit.
PTO members are required to make a minimum of one scheduled visit per month. Members are encouraged to volunteer and participate in Special Visits when they occur.
Pets must have a current rabies certificate according to City of Springfield regulation, regardless of residence. The PTO secretary must keep a copy of rabies certificate. A copy of the pet’s shot records MUST be submitted each year with a renewal. Dog owners are required to show proof of immunization against distemper, parvovirus, and Bordetella. Cat owners are required to show proof of FVRCP. PTO will also accept a positive titer.
FAILURE TO PROVIDE RENEWAL INFORMATION BY SEPTEMBER 30
OF EACH YEAR WILL RESULT IN SUSPENSION OF VISITS.
Members making visits to facilities must maintain liability coverage on either Homeowners or Renter’s insurance.
Always be dependable. Patients and staff are disappointed if they are expecting a visit from a pet, and it is late or does not appear. It is also an embarrassment to the organization and harms our credibility with the facilities we serve. If you find you are unable to fulfill your scheduled visit, notify the facility and the Facilities Director.
Members must be willing to conduct supervised visits when needed and volunteer/attend training events, community events, membership celebration meetings, and the biannual workshop and evaluations when possible.
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Membership Renewal Fee
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