Page 1 of 1

PawChart Ambassador Application

About You

What's your name?

Email Address?

Where are you located?

Phone number?

What's your age range?

Profession or Occupation

Instagram

TikTok

How did you hear about PawChart?

How did you hear about PawChart?
A
B
C
D
E

Your Pet(s)

How many pets do you have?

How many pets do you have?
A
B
C
D
E

Send us your best photo of your pet(s)!

How do you currently keep track of your pet's health?

How do you currently keep track of your pet's health?
A
B
C
D
E
F

How often do you talk about your pet's care with friends, online, or in your community?

How often do you talk about your pet's care with friends, online, or in your community?
A
B
C
D

Would you be comfortable referring friends to PawChart?

Would you be comfortable referring friends to PawChart?
A
B
C

What best describes you?

What best describes you?
A
B
C
D
E
F

Why do you want to be a PawChart Ambassador?

Tell us about your pet(s) and their story!

I understand that this is an annual commitment that I can step back from anytime

I understand that this is an annual commitment that I can step back from anytime

If accepted, may we list you publicly on the Founding Roster?

If accepted, may we list you publicly on the Founding Roster?
A
B

Optional: one line about why you love PawChart

Anything else we should know about you, your pet, or why we should pick you?