Eisenhower Elementary School Therapy Dog

Eisenhower Elementary School Therapy Dog

Parent Permission Opt-Out Form
Eisenhower Elementary School is excited to annouce that we will have a certified therapy dog, who is trained to provide comfort and support to students. Yeti is 4 year old chocolate labrador who loves to interact with students!

Alliance of Therapy Dogs and we will be following their safety and health protocols.

If you do NOT feel comfortable with your student interacting with our thearpy dog, please digitally sign the form below. By not signing this form you are giving your consent for your student to interact with the thearpy dog.

Please feel free to contact Mrs. Kelley (586) 439-6600 with any questions or concerns.
Parent Name

First NameLast Name
Student Name

First NameLast Name
Please sign here if you do NOT want your child to participate or interact with the Therapy Dog.
Additional Comments
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