JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Therapy Dog Opt-Out Form
Please complete this form if you DO NOT want your child to have contact with our therapy dog, Stuart Little.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student Name:
*
Your answer
Student's Teacher:
*
Your answer
Opt-Out
*
No, my child is not permitted to visit with the school's therapy dog.
Required
Please explain your reason for opting out so that we are mindful of your child's needs (e.g. allergies, fear of dogs, religious practices, etc.)
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Google@FRSD.
Report Abuse
Forms
