New Site Application| Furry Friends Pet Assisted Therapy Services

New Site Application - (Check)

To pay by check, please fill out the form and print this page. Send it with a $100 check made payable to Furry Friends, PO Box 5099, San Jose, CA 95150-5099. If your site is not approved, your application fee will be refunded in full.

New Site Application Form

Site's Contact Info - all fields are required

Name of Site:

Address:

City:

Zip Code:

Contact(s):

Phone Number:

Best Time(s) to Contact You:

Email:

About The Site - all fields are required

Type of facility: (examples: hospital, hospice care, assisted living, children's shelter, etc.)

Size of visiting facility:

indoor outdoor (fenced)

Site's Requirements and Limitations - all fields are required

Limitations of Site: (anything you don't want at your facility)

Number of animals:

Number of people:

Type of animals:

Size of animals:

Volunteer minimum age requirements:

Special criteria (e.g., vaccinations, security clearance):

For humans:

For animals:

Site's preferred visit time/date:
Please note that since most Furry Friends volunteers are working adults, we prefer evening or weekend visits.

Please print this form after filling it out.