Thank you

for your interest in becoming a Roxy Therapy Dogs volunteer!


All Roxy™ Therapy Dogs volunteers are required to submit a PA State Police Background CheckChild Abuse Clearance and FBI Fingerprinting Clearance.

As we are an all volunteer organization, please allow up to one week for a response to your inquiry. We appreciate your understanding and your patience.

Please note: email is our primary method of communication with volunteers.

Questions? Email Catherine Refice, Director of Volunteers

Roxy™ Volunteer Application

Address *
Phone *
Do you have a therapy dog? *
Dog's birthdate
Dog's birthdate
Approximate if you're not sure.
Is your dog a rescue?
Date of certification
Date of certification
Certification expiration date
Certification expiration date
Has your dog passed the AKC Canine Good Citizen Test?
Have you made visits as a therapy dog team?
Where are you interested in visiting with your dog? *
Check as many as apply.
Please check any items that interest you.
Check all that apply
Please provide two references who are not relatives.
Reference 1 Name *
Reference 1 Name
Reference 1 Phone *
Reference 1 Phone
Reference 2 Name *
Reference 2 Name
Reference 2 Phone *
Reference 2 Phone


Roxy Therapy Dogs does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender identification, age, national origin (ancestry), disability, marital status, sexual orientation, military status, or any other legally protected characteristics in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, vendors, and community.