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Animal Chaplain Intake Form
Animal Chaplain Intake Form
Name:
(Required)
First
Last
Phone Number:
(Required)
Email:
(Required)
I prefer to connect:
(Required)
Via phone
Via phone
In person if possible
What topic(s) of support would you like to discuss?
(Required)
I (recently) lost an animal companion and am grieving.
I am in anticipatory grief with my animal companion who suffered an injury, trauma, illness, or physical change that has or will affect their quality of life.
My animal companion just received a diagnosis and I am not sure (how) I can provide the proper care.
I (may) have to surrender my animal companion and want to explore other options.
I am thinking of adopting an animal companion and would like to have a dedication ceremony.
I had to euthanize my animal companion due to them harming a human or another animal or for behavioral reasons, and I am grieving.
I think it might be time to euthanize my animal companion and I want to make sure I am making the right decision.
I want to learn more about humane euthanasia and after-care decisions and options.
My animal companion has passed and I would like to host a funeral or sacred sendoff in their honor.
I work in a shelter or rescue environment and am suffering from compassion fatigue.
I work in the veterinary world and am suffering from compassion fatigue.
I want to volunteer with a shelter or rescue and have some questions about the environments and what would be expected of me.
I want to create a sacred space for my animal companion.
I am seeking spiritual support for dealing with the exploitation of animals (factory farming, entertainment, clothing, experimentation, working animals)
Other topic not mentioned here:
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Home
Adopted/Foster Gallery
About
Newsletter
Testimonials
Shop
Contact
Animal Chaplain
Forms
Owner Surrender
Foster
Exotics Adoption Application
Animal Chaplain Intake Form
Donate