This form is for existing B&B members only, We are updating our data base, please sit down with Fideaux and Bowser and give us as much info as possible.

Please use a separate form for each dog and/or member.

Membership Form
First Name
Last Name
Address
 Country
City
 State
 Zip
Date of Birth (MM/DD/YYYY)(Optional of course!)
Home Phone
 Work Phone
 Cell Phone
Ok to call at work? Yes / No
Best time to call (Examples "after 6pm", "anytime", "before 10pm E.S.T")
Home:
 Work:
 Cell:
Email Address's (To fill out this form we need at least a Primary email)
Primary:
Work:
 Other:
Occupation
Is the handler under 16? Yes / No
Name of Parent or Guardian
 
Guardian's address
  
Did you have prior experience with dog-related activities?
Are you willing to help with special events and projects?
When are you available?
What facilities do you currently visit with your dog?
Location 1 Location 4
Location 2 Location 5
Location 3 Location 6
Dog's called name
Dog's date of birth (MM/DD/YYYY)
Dog's breed
(If your dog is a mixed breed please list primary and secondary breeds, if known)
Comments:
Does your dog have any special skills and titles?
Physical or behavioral restrictions?

 

Return to Main Menu

Who are Bright and Beautiful - How Do I Register - FAQ - News
Take a Self Test - Dog of the Month - Memorial - Recollections
Therapists at Work - Schedule - Where Do Pet Therapists Work
B&B Stuff - Donations

The Bright & Beautiful Therapy Dogs, Inc. is a non-profit all volunteer organization.
We do not accept monetary compensation for our visitation.
Testing Fees, Membership Fees, are Donations and are Tax Deductible

 Info@Golden-Dogs.org
The Bright & Beautiful Therapy Dogs, Inc.
80 Powder Mill Road, Morris Plains, NJ 07950
Phone: (973)292-3316  Fax: (973)292-9559
Toll-Free (888)PET-5770

Copyright © 1999-2004 Bright and Beautiful Therapy Dogs