PAWS - Therapy Dog Program List Confirmation

PAWS THERAPY DOG PROGRAM – ORIENTATION LIST

Please complete the simple form below to confirm your spot today. Once confirmed you will receive a separate email providing you with an invite to register for one of our Zoom Program Orientation Dates.

Name*
First Last
Cell Phone*
Email*
Enter Email Confirm Email
Pet Information
Dog's Name*
Dog's age*
How old is your dog?
Breed of Dog*
Notes or Comments:
Informational Mailing List Confirmation*
Please confirm your preference:
- I am still interested and my dog meets minimum qualifications. Please keep my signed up to receive information about the next program orientation dates.
- I am no longer available or no longer interested in the program, please remove me from your mailing list for the PAWS Pet therapy Program.
Phone
This field is for validation purposes and should be left unchanged.

List Confirmation

Pet Information

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A Big Thank You

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