Only use this form for reoccuring visits at your facility!
To apply for one-time event visits, please click here!
Pets on Wheels does not charge for our visits, but we do incur costs for our program. It costs us about $250/year in administrative costs for each of our partner facilities. To help offset those costs, we are requesting an annual donation of $249 - please note that schools, libraries and veterans facilities are exempt from the fee, but are encouraged to donate whatever you can. If this fee is a hardship for you, please contact us at firstname.lastname@example.org as we do have a limited number of $49 waivers available.The fee may be paid via PayPal at the button below, or by sending a check to: Pets on Wheels - Facility Processing
We also encourage your facility to make an annual donation to our program. Even just $25/visiting hour - a fraction of the cost of most entertainment - goes a long way.
Don't forget, you will also need to complete the Facility Coordinator Registration to finish your enrollment.
Important! Please enter your information carefully - extra spaces, especially leading spaces, or not filling in all fields, will generate an error message.