Application for Wellness Visit
This form is to be completed by businesses/non-profits requesting that Ottawa Therapy Dogs provides a Wellness Visit for employees and/or visitors. If you are an organization requiring a one-time Wellness Visit, please complete the form below and we will be in touch with you. While we would love to attend every visit, it may not always be possible based on the availability of our volunteer teams. PLEASE NOTE: WE REQUIRE A MINIMUM OF ONE MONTH NOTICE FOR THESE REQUESTS.
Which option below best describes your organization/company?
Which option below is reflective of the number of individuals employed within the company both locally and nationally/internationally?
500 or more employees
Please describe the nature/purpose of your visit with Ottawa Therapy Dogs.
Date of proposed visit:
Address of organization:
Street Address Line 2
State / Province
Postal / Zip Code
Please describe the role of the contact provided:
eg. Program Manager, Teacher
Please enter a valid phone number.
Do you have permission for registered therapy dogs to be in the building?
How many people will be in attendance?
Describe the age demographic and main group of attendees (general public, staff only, etc.):
Describe the visiting space (size, indoor/outdoor, and any other considerations):
Will any other animals be in attendance (including service animals)?
Will there be any other concurrent events happening?
Is food served? If so, please describe where food would be located in relation to our visiting space.
Is there free parking available on-site, and if not will parking be reimbursed for the volunteer teams?
Is there anything else we should know about the facility or people who will be in attendance?
How did you hear about Ottawa Therapy Dogs?
Will attendees be required to wear a mask during the event?
Does your facility require that attendees and staff have received two doses of the COVID-19 vaccine?
We request that staff and attendees sanitize their hands before each interaction with our therapy dogs. Will you be providing this sanitizer or should we provide our own?
As a volunteer-based non-profit organization, we rely on the support of our donor community to help ensure we can provide therapy dog visits across the National Capital Region. To help offset the costs of your visit, we do request a charitable donation based on the number of individuals employed with your organization. After submitting this form, we will follow-up with more information on payment options.
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