Cuddle Break Registration Form

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Thank you for your interest in a visit from some Five Acres pets! These outings are so much fun for our pups, and the volunteer teams that bring them.

A donation of $300 is requested to secure a Cuddle Break. Please direct any questions to Madeline at madeline@fiveacresanimalshelter.org. Thank you!

Company/Organizer's Name: *

Event Address (Street, Suite #, City, State, Zip)
*

Point-of-Contact Name and Title
*

Contact Email Address
*

Contact Phone Number
*

Number of guests expected at event:
*

Please list potential days/times. We often do these over a lunch period, but they can happen as early as 9:00 and as late as 4:00. For events outside of this time, please contact Madeline at madeline@fiveacresanimalshelter.org.

Please provide details our volunteers would need regarding parking, check in, security, etc. *

Will this be held indoors or outdoors? If indoors, is their access to an outdoor space for puppy potty breaks? *

Is there anything else you would like us to know about the event?

Please verify that you are aware of the $300 donation to Five Acres to bring dogs out for a Cuddle Break.
*

Yes, I am aware of the donation requirement to Five Acres for our Cuddle Break.

Other:

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