CAP Membership

Program Year September 1, 2023 – August 31, 2024
**Your current membership expires on August 31, 2023
CAP Certified Therapy Teams are not permitted to visit until current membership is paid. Additionally we are requiring all visiting members to be vaccinated for COVID 19 and by completing this form, you are acknowledging your compliance with this requirement.

Please pay membership before 8/31/223
(This form is an SSL-encrypted secure form.)

CAP Membership

First Name:

Last Name:

Partner's First Name for Family Membership:

Partner's Last Name:

Pet's Name/s if you are a Therapy Team:

Address

Address Line 2

City:

State/Province/Region

Postal/Zip Code

Country

Email

Phone

Date of most recent Rabies Vaccine OR Rabies medical exemption

Due date for Rabies Shot OR Rabies Medical Exemption

If you are an active certified CAP Therapy team, please attach a photo or scanned photocopy of your Veterinarian's Rabies Certificate OR Proof of Titer OR Medical Exemption.

Choose your level of membership below. Consider becoming a supporting member. When you have completed this form, Click on the "Submit" button to renew your CAP membership. You will be sent to a page to select your payment by PayPal. All donations are tax deductible, since CAP is a 501(c)(3) charitable organization. Supporting Membership for $50Family Membership for $40Single Membership for $30