Sanctuary Intake | The JAYC Foundation

Thank you for your interest in joining our directory of providers. To submit your organization, please complete the form below. Note: Completion of the form does not guarantee acceptance into the directory.

Your Name

Please Describe Your Role At The Sanctuary

Your Website URL

Your Sanctuary Name

Your Company Phone Number

Your Company Address

Your Email Address

Describe Your Sanctuary in 3 Sentences or Less (300 characters max) 👉 (Focus: mission, environment, what makes it special)

What Kind of Experiences Do You Offer to Guests? (Select All That Apply) What Kind of Experiences Do You Offer to Guests? (Select All That Apply) Casual Visits / Open Hours Guided Animal Interaction Educational Visits Retreats / Workshops Volunteer Opportunities Private Visits

Animals at Your Sanctuary (Select All That Apply): Animals at Your Sanctuary (Select All That Apply): Birds Cats Dogs Farm Animals Fish Horses

Ages Served (Select All That Apply): Ages Served (Select All That Apply): Children (0-12) Adolescents /Teens (13-17) Young Adults (18-25) Adults (26-50) Older Adults (50+)

How Do Guests Typically Interact With Animals? How Do Guests Typically Interact With Animals? Observation Only Guided Interaction Hands-On Care (feeding, grooming) Structured Activities

Is Your Facility Wheel Chair Accessible? Is Your Facility Wheel Chair Accessible? Yes No

Do You Have Staff or Volunteers Present During Visits? Do You Have Staff or Volunteers Present During Visits? Yes No

Have You Or Any Staff Member Completed Any Training From Polyvagal Equine Institute? Have You Or Any Staff Member Completed Any Training From Polyvagal Equine Institute? Yes No

Do You Agree to Offer 20% off Services to Clients Referred Through the Hooves for Helping Program? Do You Agree to Offer 20% off Services to Clients Referred Through the Hooves for Helping Program? Yes No

Are You Open to Collaborating with Providers in the Directory Are You Open to Collaborating with Providers in the Directory Yes No Maybe

Do You Certify That All of the Information You Have Provided Is Accurate? Do You Certify That All of the Information You Have Provided Is Accurate? Yes No

If Approved, Do You Agree to Notify The JAYC Foundation Immediately Should Any of Your Information Change? If Approved, Do You Agree to Notify The JAYC Foundation Immediately Should Any of Your Information Change? Yes No

Upload Professional Headshot Photo for Profile Please select a high quality photo that is at least 400x400 pixels in size. The photo should only have 1 person in it.File InputNo Image ChosenAccepted image file types: jpg, jpeg, jpe, png. Max. image file size: 5 MB

Upload Organization Logo for Profile Please select a high quality image that is at least 800x600 pixels in size.File InputNo Image ChosenAccepted image file types: jpg, jpeg, jpe, png. Max. image file size: 5 MB

Complimentary Shirt Size (American Standard Sizes) If approved for the directory, a complimentary T-shirt will be provided as thanks for joining (while supplies last).

6 + 15 =

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