HOPE AACR · Become a part of our network of support.

Contact Information

Name

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First Name

Last Name

Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone Number

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Email

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Your Region

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How to Determine Your Region

Central Gulf Coast (CGC): New Mexico, Texas, Oklahoma, Arkansas & Louisiana
Eastern (EUS): Maine, New Hampshire, Vermont, New York, Pennsylvania, Massachusetts, Rhode Island, Connecticut, New Jersey, Delaware, Maryland, Virginia, West Virginia
Midwest (MWR): Minnesota, Wisconsin, Michigan, Iowa, Illinois, Indiana, Ohio & Missouri
Pacific Northwest (PNW): Washington, Oregon, Idaho & Alaska
Pacific Southwest (PSW): California, Nevada, Arizona & Hawaii
Rocky Mountain (RMR): Montana, North Dakota, Wyoming, South Dakota, Nebraska, Utah, Colorado & Kansas
Southeast (SER): Kentucky, Tennessee, North Carolina, Mississippi, Alabama, Georgia, South Carolina & Florida

Type of Membership

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Membership Types

Handler: Volunteer with their dogs to deploy to crises and disasters.
Team Leader: Supervise and support dog/handler teams during crisis and disaster deployments.
Associate: Volunteer unique skills and talents to support the work of HOPE AACR, without deploying to crises or disasters.

Why are you interested in Animal-Assisted Crisis Response?

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Dog's Name

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Dog's Breed

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Dog's Date of Birth

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(mm/dd/yyyy)

Is your dog spayed or neutered?

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AAT Team?: *required for membership

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AAT Organization: *required for membership

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Examples include but are not limited to: Alliance of Therapy Dogs, Bright & Beautiful Therapy Dogs, Love on a Leash, or Pet Partners.

AAT Badge/Registration Letter

Click here to upload a photo of your AAT badge or AAT membership acceptance letter. PDFs are also accepted.

How long (in years) in AAT with the dog listed on this application?:

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Tell us more about your dog:

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Tell us more about your skills and interest:

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