PVUMC Therapy Dog Training interest Form Name * First Name Last Name Email * Phone (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Your Dog’s Name * Breed of Your Dog * Sex of Your Dog Note: Therapy Dog International requires canine students to have non-aggressive temperament. Female Female (Altered) Male Male (Altered) Age of Your Dog (in Years) * Note: The therapy dog certifying organization requires that dogs must be at least 1 year old, must have lived with you at least 6 months, and must not be aggressive. Proof of rabies vaccination is required. Therapy dog training classes are held in 8 weekly sessions. The first orientation session is compulsory (without dog). Class participants make a commitment to attend all sessions. Participants also agree to take their certified dogs to visit people who will benefit. * Registrants are invited to attend the next available class in the order registrations are received. If you are unable to attend the sessions, you may choose to be waitlisted for the next class. I agree Thank you!