Paws for People Animal Assisted Wellness
Use this form to request visits to your facility or site. Visits typically last one hour. Sometimes there will be one team and sometimes more, depending on volunteers' availability. In addition to setting up monthly visits to your site, teams are available to be there for specific events, parties, etc. Visiting teams consist of volunteers and their personal pets. Handlers have received training and been assessed on their ability to to handle their animals in a safe manner, possessing good communitcation skills, using best visiting practices, and understanding of HIPPA conpliance. Animals are up to date on their vaccinations and have been evaluated for temperment, basic obedience skills, and have tested negative for any diseases or parasites that can be transmitted to humans or other animals. Teams are covered undered Butte Humane Society's General Liability Insurance Policy while visiting.
Facility Enrollment Form
Facility Name *
Your answer
Website *
Your answer
Physical Address *
Your answer
Facility Contact *
Name
Your answer
Facility Contact *
Title/ Position
Your answer
Facility Contact *
Email
Your answer
Facility Contact *
Phone
Your answer
Type of Facility *
Required
Primary Population Served by Therapy Animal Team *
Required
Primary Age Group Served by Therapy Animal Team *
Required
Types of Visiting Environments *
Required
People Participating Per Interaction *
Required
Level of Staff Involvement *
Required
Activity Level of Facility Where Visits are Occuring *
Required
Types of Animals *
Required
Optimal Days/ Times
Morning
Afternoon
Evening
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Satrudays
Sundays
Goals and Expectations *
Short description of what you hope to achieve by incorporating AAT at your facility
Your answer
Submit
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