Facility Application – Therapy Dogs Boulder County is no longer in operation!

Full Name*

E-mail*

Street Address*

City, State, Zip*

Phone*

Dogs Name*

Dogs Gender*

Dogs Breed*

Dogs Birth Date*

How is your dog with children?*

How is your dog with other dogs?*

Are you and your dog presently registered?*

Are you 18 years of age or older?*

Do you have ample time to visit with your dog during the week or weekends between hours of 9 to noon and 2 until 4pm?*

Which facility or facilities are you applying for? (up to 5 selections MAX)*

Therapy Dogs Boulder County is no longer in operation!