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Shadrach Comfort Dog Visit Request Form
Please use this form to request a visit from our LCC K9 Comfort Dog, Shadrach. We will contact you within a week to let you know if we can meet your request.
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Organization
*
Your answer
Phone Number for Contact
*
Your answer
Address for Visit
*
Your answer
Date Requested
*
MM
/
DD
/
YYYY
Is this date flexible?
*
Yes
No
Required
If yes, please indicate other dates that would work.
Your answer
Time Requested (indicate start and end time, please)
*
Your answer
What is the activity? (Examples- chapel service, classroom visit, community event, elder care)
*
Your answer
Please give us an idea of the purpose for the visit, and what you expect in terms of presentation, if any.
*
Your answer
How many people do you anticipate at this event/visit?
*
Your answer
Please provide parking details for the event location.
*
Your answer
Please indicate the best entrance for our dog and handlers to use.
*
Your answer
How did you hear about us?
Your answer
Any other questions or comments for us?
Your answer
A copy of your responses will be emailed to the address you provided.
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