"Pilot Dogs Live"- Off Site Request Form

"Pilot Dogs Live" Off Site Request Form

Please provide your details and preferences for your onsite visit request.
Primary Contact Name*

First NameLast Name
Primary Contact Phone Number*
Please enter a valid phone number.
Primary Contact Email*
example@example.com
Organization or Club Name*
How many people will be attending the onsite event?*
What level of presentation are you interested in?*

We prefer only a presentation about the organization, no guide dog demonstrationWe prefer a guide dog demonstration only (trainer + dog)We prefer a combination of both
Date of Event*

MonthDayYear
Date
Start Time of Event*

Hour Minutes

AM/PM Option
End Time of Event*

Hour Minutes

AM/PM Option
How much time is allotted for our presentation?*
What is the name of the facility where the event is being held?*
What is the full address including zip code?*
Have we presented to your organization before?*

YesNo
If so, are there any best practices or specific protocols that you would like us to be aware of?
Should be Empty:

"Pilot Dogs Live" Off Site Request Form