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Visit Volunteer Application

Have you ever been convicted of animal cruelty?
Yes
No
How often are you able to bring a pet to visit their owner?
Once a week
Every other week
I can't commit to regular visits but would like to be called if you need a visit volunteer occasionally.
What days are you available to bring pets to visit their owners?
What is the best time of day for you to bring a pet to visit their owner? (Please select all that apply.)
What size pet are you comfortable with bringing to visit their owner? (Please select all that apply.)
Are you comfortable bringing a pet to visit their owner in the hospital?
Yes
No
Are you comfortable bringing a pet to visit their owner in a rehab/nursing home facility?
Yes
No
Are you comfortable bringing a pet to visit an owner who is actively dying?
Yes
No
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Date
Month
Day
Year
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