Comfort Dog Request Form Comfort Dog Request Form Comfort Dog Request Form Name * Name First Name First Name Last Name Last Name Department * Email * Event planner phone number * Event Date * Please note the date you would like a comfort dog visit. Event Start Time * 121234567891011 : 00153045 AMPM Time limit for Comfort Dog visits is one (1) hour. Exceptions must be authorized by a comfort canine supervisor. Expected Event End Time * 121234567891011 : 00153045 AMPM Event Location, please include physical address * Event Type * Concert, class, faculty or staff work event, meeting Expected number of attendees * Best contact during the day of the event * Please include both email and cell phone number. Day of event contact cell phone * Email * Secondary contact (for both planning and day of event) * Please include both email and cell phone number. This person will be contacted if both the day-of-event contact and the person who submitted the request can not be reached. Secondary contact cell phone * Secondary contact email * Environment * IndoorsOutdoors Where will your event be held – indoors or outdoors? Will other animals be present during the event? * YesNo Submit If you are human, leave this field blank.
