New Organization Form

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All members must fill out this form before visits commence ONLY IF THE ORGANIZATION IS NOT ON Track-it-Forward.

Failure to have this on file with IPP will result in no liability coverage for the IPP therapy dog team at that specific facility.

This form will also help IPP add to their list of therapy dog friendly organizations and share with other and new IPP members.

Email *

IPP Member Name *

IPP Member Number(s) *

Name of Organization *

Organization Address *

Organization Point of Contact Name/Title *

Point of Contact Phone Number *

Point of Contact e-mail *

Submit

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