Request a Therapy Dog Session
The information you provide on this form is considered confidential by Vancouver ecoVillage and will only be used to manage the application, selection and coordination of applicants requesting a therapy dog session or event.  Your personal information will not be disclosed to a third party without your consent, unless required or authorized to do so by law or other regulation. This form is kept on file by our office for all active requests.
Website: www.vanecovillage.com/therapy-dog-program
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Legal Name *
Name of Organization, Department, Association (be specific) *
Your Phone Numbers (Mobile + Home) *
Email *
Co-Manager/Other Event Coordinator ( Must include Name, Email, Phone number): *
Tell us about the therapy dog session or event you're envisioning! Share the basics: What’s the occasion (e.g., team-building, stress relief, community gathering)? Any special themes, group dynamics, or custom touches (like photo ops or quiet cuddle corners)? This helps us match the perfect pups and handlers for a truly heartwarming experience—let's make it unforgettable!
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Where is the exact address for the session? *
How many sessions are you requesting? *
What are your preferred dates? *
How many participants do you expect at this therapy dog event?
We'll adjust duration accordingly: 
45 minutes for up to 50 participants 
1.5 hours for 51+ participants
(Pro tip: Round up if unsure—we can always adapt on the day for maximum furry fun!)
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Total number of people (adults/children) who will attend the session/event? *
Your contribution will support key costs like specialized dog insurance and transportation for our certified handlers and therapy dogs to reach your venue safely and on time. To receive a customized quote, reply with your expected number of participants—or reach us anytime at info@vanecovillage.com. We're here to make this tail-waggingly perfect for your group! *
I agree to the following Media Release and Consent for the therapy dog event.
I understand Vancouver ecoVillage (VE) documents events via photos and videos to showcase progress and community connections. This may include participants during sessions. I consent to VE using such media in documentaries, promotions, social media, or other materials to highlight the event's joyful impact. This release is voluntary and irrevocable.
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Required
Release of Liability, Waiver of Claims, Assumption of Risk, and Indemnity Agreement
On behalf of all participants (including myself, minors, guardians, and accompanying pets), I agree to the following Release of Liability, Waiver of Claims, Assumption of Risk, and Indemnity Agreement for the Vancouver ecoVillage therapy dog event.

Parties and Scope: 
This Agreement is entered into by and between each participant (adults, children under guardianship, and their guardians) and Vancouver ecoVillage Society ("VE"), including its officers, directors, employees, volunteers, agents, handlers, dogs, affiliates, and successors (collectively, "Released Parties"). It applies to all VE events/activities organized via www.vanecovillage.com or members, including in-person indoor/outdoor therapy dog sessions.

Acknowledgment of Risks: 
Participants expressly acknowledge and assume all risks, known and unknown, inherent or otherwise, associated with the event, including but not limited to: (i) physical injury, illness, death, or property damage from interactions with therapy dogs, handlers, other participants, equipment, facilities, natural elements, or third parties; (ii) exposure to allergens, bites, scratches, or unpredictable animal behavior; (iii) hazards from negligence, equipment malfunction, or environmental conditions; and (iv) absence of immediate medical aid. These risks cannot be eliminated without fundamentally altering the event's purpose, and participants agree to exercise reasonable care for their safety and that of others.
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Required
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