Test & Certification Registration

Ready to take your Therapy Dog Certification Test/Evaluation? Please fill out the form below.

Name of Handler
First Last
Handler's Address
Street Address City State ZIP Code
Handler's Email
Handler's Phone
Additional Handler to be Tested
(all handlers must be 14 or older and only one additional handler may be certified at the same time)
Full Name (First, Last)
Dog's Name
(Please fill out a separate form for each individual dog being tested)
Dog's Age
(Dogs must be at least 1 year-old)
Breed of Dog
Where would you like to volunteer once you and your dog become a TDV-certified team?
Dog's Gender
Is your dog currently on a raw meat diet of any kind?
- Yes
- No
(therapy dogs must not be on a raw meat diet per TDV guidelines)
If you do not know of a specific facility, what would you like to do with your certification?
All certified teams are expected to become active volunteers with TDV (i.e., TDV does not certify dogs solely for community/school projects or short-term community service requirements.)
Why you do want to become involved with Therapy Dogs of Vermont?
First Choice for Test Location*
Sites will be determined at a later date. Please select the Vermont region that best applies to you.
First Choice for Test Location
Sites will be determined at a later date. Please select the Vermont region that best applies to you.
First Choice for Test Location
Sites will be determined at a later date. Please select the Vermont region that best applies to you.
First Choice for Test Location
Sites will be determined at a later date. Please select the Vermont region that best applies to you.
First Choice for Test Location
Sites will be determined at a later date. Please select the Vermont region that best applies to you.
First Choice for Test Location
Sites will be determined at a later date. Please select the Vermont region that best applies to you.
View Testing Dates
Second Choice for Test Location
Second Choice for Test Location
Sites will be determined at a later date. Please select the Vermont region that best applies to you.
Second Choice for Test Location
Sites will be determined at a later date. Please select the Vermont region that best applies to you.
Second Choice for Test Location
Sites will be determined at a later date. Please select the Vermont region that best applies to you.
Second Choice for Test Location
Sites will be determined at a later date. Please select the Vermont region that best applies to you.
Second Choice for Test Location
Sites will be determined at a later date. Please select the Vermont region that best applies to you.
View Testing Dates
How did you learn about Therapy Dogs of Vermont?
Registration Fee
Price: $45.00
Please proceed to PayPal to pay the registration fee using the button below. No PayPal account required. Your registration will not be valid until we have received payment. Thank you!
Comments
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