Thank you for your interest in joining Creature Comfort Pet Therapy! 

The cost of the application is $100.00. You will be prompted to pay after hitting the "continue" button below.

Once you have filled out the application, please send the pet records to kclark@ccpettherapy.org to schedule a test date.
Applicants may be asked to undergo a background check in accordance with our facility contracts.

What is the primary email address for matters relating to this animal?

Your information


Required fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB.

PET'S INFORMATION
Pet's name *
Pet Type *
Pet Type (Other) *
Pet Breed *
Pet Gender *
Pet Birthday *

A valid date as MM/DD/YYYY (for example: 11/30/2015)

PRIMARY HANDLER INFORMATION
Salutation
First name (primary handler) *
Last name *
Name as you would like it to appear on certificate
Your birthday *

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Mobile phone *

For example, 123-456-7890
SMS (text) messaging:
You may opt-in to receive SMS (text) for Creature Comfort Pet Therapy volunteer activities, including shift reminders and cancellations.

To opt-out, reply STOP to any SMS message OR update the SMS opt-in setting in your profile.
Secondary Phone
Street Address *
Apartment / Suite #
City *
State (CCPT only visits in NJ) *
Zip *
County (CCPT only visits the below counties) *
County Other
Availability for visiting (Please be specific, Ex: Mon - Thur 10a-4pm and Sat) *
Any interest/skills for additional volunteer opportunities with CCPT?

ADDITIONAL HANDLERS
How many additional people will be testing with this animal? (+$100.00 per person)
Other handler #1: Salutation
Other handler #1: First name
Other handler #1: Last name
Other handler #1: Mobile phone
Other handler #1: Email
Other handler #1: Birthday

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Other handler #2: Salutation
Other handler #2: First name
Other handler #2: Last name
Other handler #2: Mobile phone
Other handler #2: Email
Other handler #2: Birthday

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Other handler #3: Salutation
Other handler #3: First name
Other handler #3: Last name
Other handler #3: Mobile phone
Other handler #3: Email
Other handler #3: Birthday

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Other handler #4: Salutation
Other handler #4: First name
Other handler #4: Last name
Other handler #4: Mobile phone
Other handler #4: Email
Other handler #4: Birthday

A valid date as MM/DD/YYYY (for example: 11/30/2015)

ADDITIONAL INFORMATION
Check all that apply

Pet is certified with another therapy organization






Other - Which therapy organization?
Do you wish to bring your pet to your work for therapy visits?
We have a program for in-house therapy animals (pets that go to work with their handler) which includes an annual fee and contract with the facility.
Currently, this program is only for schools. The cost for the program is $250 first year setup fee + $750 annual program fee which is typically covered by educational grants. Please reach out to CCPT for further information on this program. 973-285-9083 ext:202
Please provide a brief description of how you would be using the animal while working.
How did you hear about CCPT? *





What training facility?
What Veterinary Practice?
How did you hear about CCPT? (Other)