Therapaws Pet Therapy Visit Request Form
To request a visit from our Therapaws Team, please fill out the short questionnaire below.

Sign in to Google to save your progress. Learn more
Your Name *
Facility Name (if not applicable please write N/A) *
Facility Address, including City *
Email address *
Phone number to reach you at *
Please choose the type of visit you are looking for: *
*Please note that all requests must be a minimum of two weeks in advance.* What is the time frame of your request? *
Required
What type of setting would the visit take place in: *
If this is a group visit, how many people are in your group?
Clear selection
Do you have a preferred day of the week for the visit(s) - choose all that apply *
Required
Do you have a preferred time frame for the visit(s) - choose all that apply *
Required
Thank you for your interest in hosting our Therapaws Teams!
We will be in contact with you shortly.
-Andrea Wendlandt, Pet Therapy Program Manager
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hinsdale Humane Society.

Does this form look suspicious? Report

Google Forms