We will send you an application pack by post normally within 1 week, however it may take up to 2 weeks depending on current demand.  Application packs are only available to residents of the United Kingdom who are over 18 years.  Please do not request a pack unnecessarily as each cost the charity £1.

Pet:	Dog Cat *
Title:	Mr Mrs Miss Ms Dr *
Full Name:	*
Address Line 1:	*
Address Line 2:	*
Town:	*
County:	*
Postcode:	*
E-mail :	*
	*required

DATA PROTECTION ACT CONSENT FOR PERSONS APPLYING TO BECOME A REGISTERED VOLUNTEER

By clicking Submit I consent to Pets As Therapy (Registered Charity No 1112194: Charity Registered in Scotland SCO38910: a company limited by guarantee) processing my personal data for the purposes of:

• Processing my registration application

• Subscription administration

• Arranging visits from volunteers

• Sending me information about the work of Pets as Therapy

• Sending me other information which maybe of interest to me