subject_line
One Time Event Request Form
Event Contact Information
Facility Name
*
First Name
*
Last Name
*
Email
*
Phone Number
*
What is the address for the visit?
*
Will you be the contact person for our volunteers on the day of your event?
*
Yes
No
If you
will not
be the contact person for our volunteers on the day of your event, please provide the name and phone number of the person who will be available should our volunteers need assistance.
First Name
*
Last Name
*
Email
*
Phone Number
*
Event Details
Have we ever visited your facility before?
*
Yes
No
Have you confirmed that your facility allows animals on premises?
*
Yes
No
Sometimes dogs are not allowed in certain buldings or areas. If you have not received specific permission for a therapy dog visit from a building or site manager, we ask that you do so before completing th
is form
.
Please provide the day and time of your event. If you have not yet scheduled the exact day and time, please provide as much information as possible in the text box below.
Day of Event
+
Start Time (HH:MM AM/PM)
End Time (HH:MM AM/PM)
Please provide a short blurb about your event (activities, population being served, number of people expected, why dog therapy at this particular event, etc). A portion of this may appear in our monthly newsletter to potential teams.
*
What is the ideal number of therapy dogs you would like for your event? Please note that each dog can only stay up to one hour.
*
Please provide directions for our volunteers to follow when they arrive on site the day of your event.
*
What is the parking situation going to be like at your event (i.e street parking, parking lot, metered parking)? Please include any fees.
*