Wisteria Goldens Therapy Dog Community Application

Please complete and submit this form.

Note: All personal information will be kept private. We will only display your Wisteria Goldens’ Name, Date of Birth, Sire & Dam, State of Residence, and your public story.

Requirements for Community Membership

  • Must be from Wisteria Goldens
  • Must submit graduation certificate one of the following:
    • Level Achieved or Training Completed
    • Therapy
    • Service
  • Must also submit:
    • Current Photograph (headshot preferred)
    • Short Biography
    • Completion of Application

Therapy Dog Community Application

  • In what capacity is your Wisteria Golden serving?
    Check all that apply.
  • (Please do not include information that would violate your or others privacy)
  • Max. file size: 256 MB.
    Please upload your favorite headshot or photo of your Wisteria Goldens to be added to the website.
    If requested, please advise how you would like your information shared:
  • All personal information will be kept private. We will only display your Wisteria Goldens’ Name, Date of Birth, Sire & Dam, State of Residence, and your public story.
    By completing this digital document, I give permission for Wisteria Goldens to use the information I have provided for the purposes of connecting and encouraging other families seeking to learn more about service, emotional support, and therapy work with their Golden. I hereby give permission to Wisteria Goldens to use the information I have provided.
  • MM slash DD slash YYYY