I Need Help
Necesito Ayuda
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Email *
First Name (Nombre) *
Last Name (Apellido) *
Address (Dirección) *
Number and Street (Numero y calle)
City, State, ZIP (Ciudad, Estado) *
Phone Number (Teléfono) *
Tell us about your situation and what kind of help you are looking for. (Cuéntanos sobre tu situación y qué tipo de ayuda estás buscando.) *
PETS. What kind do you have? How many? How old are they? (MASCOTAS. ¿Que tipo tienes? ¿Cuántos? ¿Qué edad tienen?) *
Please TEXT a photo of your pet to 1-510-414-6461 or email it to badrapconnect@badrap.org (This helps us introduce you to helpers.)
Is there anything else you want us to know? (¿Hay más información sobre tu mascota que deberíamos saber?
Preferred Language *
By completing the sign up form to be matched you agree that you accept all risk and responsibility and further hold BADRAP and any facilitator associated with Helper Connect harmless. *
A copy of your responses will be emailed to the address you provided.
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