NYC DOE Comfort Dog Program 2022-2023
With signed consent, students will be allowed:

1) to see Bailey if they're having a tough day and just need a moment to talk or pet Bailey
2) to join one of the groups involving Bailey
3) to give her a treat during homeroom visits.

Students will be provided with sanitizing hand wipes and encouraged to wash their hands with soap and water.

Sign in to Google to save your progress. Learn more
Email *
Student first name
Student last name
Student homeroom
I give consent for my child to see/pet Bailey
Parent Notes:  Please let us know of any special circumstances regarding your child's participation/non-participation in this program (i.e. allergies, fear of dogs, etc)
Clear form
Never submit passwords through Google Forms.
This form was created inside of East Side Middle School. Report Abuse