Pet Therapy Request

Our certified Therapy Teams are always looking for opportunities to provide pet therapy within the community. Submit a request below to have therapy teams come to visit your organization or attend your event.

*Please note that Therapy Teams cannot visit personal residences.

*We ask that you submit your request at least two weeks prior to your event.

Name *

First

Last

Email *

Phone *

Business or Organization Name *

Description of Visit Request *

Visit will be held: *

Indoors
Outdoors

What is the estimated number of people who will be in attendance? *

How many Therapy Teams would you like to attend? (1 Therapy Team = 1 Dog and 1 Handler) *

Preferred Visit Date *

Preferred Visit Start Time *

Preferred Visit End Time *

Address of Visit *

Address Line 1

Address Line 2

City

State

Zip Code

Where should the Therapy Teams meet the point of contact for the event? *

Parking Instructions *

Day-Of Contact Name (will be sent to therapy teams for any issues/questions at the visit) *

First

Last

Day-Of Contact Phone (will be sent to therapy teams for any issues/questions at the visit) *

I understand that Canines for Service (CFS) will provide the pet therapy visitations at no cost to not-for-profit organizations (e.g., schools, universities). For-profit businesses will be asked to provide a donation based on the number of days, hours and therapy teams requested. By checking the box I agree to these terms. *

I agree.

Name *

First

Last

Email *

Phone *

Business or Organization Name *

Description of Visit Request *

Visit will be held: *

Indoors
Outdoors

What is the estimated number of people who will be in attendance? *

How many Therapy Teams would you like to attend? (1 Therapy Team = 1 Dog and 1 Handler) *

Preferred Visit Date *

Preferred Visit Start Time *

Preferred Visit End Time *

Address of Visit *

Address Line 1

Address Line 2

City

State

Zip Code

Where should the Therapy Teams meet the point of contact for the event? *

Parking Instructions *

Day-Of Contact Name (will be sent to therapy teams for any issues/questions at the visit) *

First

Last

Day-Of Contact Phone (will be sent to therapy teams for any issues/questions at the visit) *

I agree.

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