Cuddle Break Registration Form
Thank you for your interest in having Five Acres come visit over your lunch hour for one hour to play with and cuddle some dogs! We rely on volunteers to bring dogs out to companies for Cuddle Breaks, and we are happy to plan these outings for the dogs to visit with people to socialize!  We ask for a $300 donation to schedule a Cuddle Break.  Thank you!
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Company name
 *
Company Address (Street, Suite #, City, State, Zip)
 *
Contact Name and Title
 *
Contact Email Address
 *
Contact Phone Number
 *
Number of employees
 *
Day(s) Interested
 *
Required
Time(s) Interested (we typically schedule them over lunch so 11-12, or 12-1, but can be flexible with as early as 10 and as
late as 4): *
Required
Please provide details our volunteers would need regarding parking, check in, security, etc. *
Will this be held indoors or outdoors? If indoors, do you have a space that would be convenient to have puppies or dogs (and possibility of a potty mess is a real thing). If outdoors, do you have a shaded area? *
Do you have a safe space within your workplace to accommodate 2-4 animals? *
Will there be any other animals there while we are there with our dogs? *
Is there easy access for the volunteers to take the animals outside? *
Do you have Management approval?
 *
Management Contact Name
 *
Management Contact Email Address
 *
Please verify that you are aware of the $300 donation to Five Acres to bring dogs out for a Cuddle Break.
 *
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