Referral Instructions & Form

Only adults or juveniles (aged 15-17) who have been referred to the course can enroll in Benchmark Animal Rehabilitative Curriculum (B.A.R.C.). Referrals are accepted from only the following referring agencies: members of the criminal justice system (e.g., prosecutor, judge, defense attorney, or probation officer), animal control professionals, social services agencies, educational institutions (e.g., teacher, school counselor, or administrator), or mental health professionals. To make a referral, you must submit a completed referral form either by completing the form below online and clicking the "SUBMIT" button, or by printing it and either emailing the completed form to or faxing it to 1-888-527-8111.

Printable Referral Form

Fill out my online form.