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Test NSTA form
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Todays Date
MM slash DD slash YYYY
First Name
(Required)
Last Name
(Required)
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Name
First
Last
Street Address
(Required)
Street Address 2
City
(Required)
State
(Required)
Zip Code
(Required)
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Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
(Required)
Enter Email
Confirm Email
Phone
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Type of Membership
Choose one
Team Membership
Individual Membership
Are you a registered Pet Partners team?
(Required)
Choose one
Yes, I have passed the Pet Partners Evaluation
In process of getting registered with Pet Partners
Only want to be individual member
Qualifications
(Required)
Complex
Predictable
Complex Qualifications
(Required)
Select as many that apply
None
7 - Special equipment
Predictable Qualifications
(Required)
Select as many that apply
None
1 - One-on-one work only
2 - Routinely predictable interactions only
3 - Clients that are not medically fragile
5 - Low activity/few distractions
7 - Special equipment
8 - Carried while visiting
How did you hear about us?
(Required)
Training School
North Star Member
Web Search
Social Media
Community Event
Other
If you selected Training School in the previous question, please tell us which one you attended most recently
All Breed Obedience
Agile Canines
Animal Humane Society
Bloomington Obedience
Fusion
Petsmart
St. Paul Dog Training Club
TCOTC
Other
Other Training School
Other way you heard about us
North Star Member Name
Type of Animal
(Required)
Dog
Cat
Guinea Pig
Rabbit
Bird
Llama/Alpaca
Equine
Rat
Pig
Breed
Name of Animal
(Required)
Age of Animal
(Required)
Please enter your Pet Partners ID Number
(Required)
Please enter your Pet Partners Expiration Date
(Required)
North Star is an all-volunteer organization that engages in a wide variety of efforts to connect our members to the best visit experiences available - Please let us know which of they following skills you might be able to contribute so that our organization continues to grow and thrive
Admin/Organizational skills to help track members and visits
Personal sales experience for generating leads at major events
Social media experience including posting, advertising and tracking
SEO experience to help maximize our website
Adobe Creative Suite experience for creating flyers, banners, cards and ads
Dog training experience
Muscles - to help us transport tents and materials from one event to the next
Other
Other skills you might be able to contribute
Are there any particular types of visits you think your animal partner might enjoy?
Library
School
Airport
Hospital Care Center
Hospice
Other
Other types of visits you think your animal parter might enjoy
Comments
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