Therapy Animal Request
Would you like to have a visit from an LCM animal at your church, school, or event? Fill out this form to make your request.
First Name *
Your answer
Last Name *
Your answer
Mobile Number *
Your answer
Home Number
Your answer
Work Number
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
ZIP Code *
Your answer
Home Church *
Please list City & State. If you don't have a home church, simply put "None"
Your answer
One time visit or ongoing? *
Dates & Times Requested *
Your answer
Who will the therapy animals be visiting? *
Please describe the expected audience for this visit.
Your answer
Describe your event. *
Block party? Nursing home visit? Exam week?
Your answer
Facility Information *
Please list street address and contact info for the facility where the visit will take place.
Your answer
Why are you requesting a visit? *
What do you expect from us at this visit? Why do you want a therapy animal visit?
Your answer
How many people do you expect to be there? *
Your answer
How did you hear about Living Creatures Ministry? *
Your answer
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