"Yesterday we had the privilege of meeting a woman with disabilities. She said the pups made her problems disappear even if for a brief moment, and that we would be what she remembered from the day."
- Erin S., volunteer
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Facility Coordinator Registration Form

Please enter your information carefully - extra spaces, especially leading spaces, or not filling in all fields, will generate an error message.

General Information
Address Information
Contact Information
Other
 I have read and agreed to the following terms*:
  • I am an Activity Director of a facility visited by Pets On Wheels volunteers.
  • I agree to receive emails from Pets on Wheels.

*Failure to meet the terms above will result in your ineligibility to participate with Pets on Wheels.

 

Please note that if you have a space in front of any information in the entry fields, or if you left one of the fields blank, you will get an error message. If this happens, please go back and review your entries carefully, and remove any extra spaces or fill out any blank fields. Thank you!