Therapy Dog (Audi) Consent Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We have a new part-time employee at BFA! His name is Audi, and he is going to be joining us as a therapy dog two days a week to start. Audi is an F1B (hypoallergenic) Bernedoodle. He has gone through 4 weeks of training and has proven himself to be a lovable companion. Audi will always be accompanied by an adult and spend his first few weeks getting to know the middle school students. Interaction with Audi will always be optional. We are asking every family to fill out this consent form before Audi joins us at school. Please submit a form for each student you have that attends BFA.

Email *

Student Name *

Student Grade *

Consent *

I give my child permission to interact with Audi.

I do NOT give my child permission to interact with Audi.

Required

Signature (Please type your FULL name) *

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Ben Franklin Academy. Report Abuse

Forms