Canine Assistants

Request a Presentation/Info Table/Therapy Visit

Thank you for your interest in a Canine Assistants presentation, information table, and/or therapy visit. Please submit the following information and a representative will follow up with you soon. Please be as specific as possible in the form to make sure that we can best meet the needs of your visit.

Bolded Fields Are Required
Contact Name:
Contact Number:
Contact Email:
Group Name (if applicable):
Location of Presentation
Number in Audience:
Age of Children (if applicable):
Preferred Date and Time:
Additional Information:
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Canine Assistants

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