Therapy Dog Booking Inquiry Form

Therapy Dog Booking Inquiry Form

Once we receive the inquiry form, we will contact you shortly to confirm availability.
Individual Only

1:1
Full Name

First Name Last Name
E-mail
Phone Number

Area Code Phone Number
Type
Date you are requesting to commence

Day Month Year
How often would you like a therapy dog to visit?
Fees or Rates: Donation Agreement plan, Hourly Fee, or Price on application.

Once we receive the inquiry form, we will contact you shortly to confirm availability.
Organisation

Organisation Only
Organisation
Address

Street Address

Street Address Line 2

City State

Post Code
Number of Adults
Number of Children Aged 6-15
Number of Children Aged 0-5
Client Base
Corporate
Individual
Date you are requesting to commence

Day Month Year
How often would you like a therapy dog team to visit?
Fees or Rates: Donation Agreement plan, Hourly Fee, or Price on application.

Once we receive the inquiry form, we will contact you shortly to confirm availability.
Therapy Dog Booking Inquiry Form

Once we receive the filed form, we will contact you shortly to confirm availability.
Comments?
Should be Empty:

Individual Only