Corporate Involvement – Cuddle Breaks!

Please make sure you have management approval prior to submitting this form!

Name of Organization/Business*
Number of Employees*
Address*
Street Address Address Line 2 City State ZIP Code
Days Interested (select all possible please)*
- Tuesday
- Wednesday
- Thursday
- Friday
- Other
Availability*
We typically do Cuddle Breaks from 11-1pm. Is this time sufficient for you? If not, please choose another time frame below
- 11-1pm is great with us!
- We prefer earlier (10-12)
- We prefer later (2-4)
On the day of the Cuddle Break, who will be our Main Contact?*
Main Contact Phone Number*
Main Contact Email Address*
Enter Email Confirm Email
Please provide details that our Volunteers would need regarding parking, checking in, security protocol, etc.*
Do you have a safe space within your work place to accommodate 2-3 dogs and 2-4 Volunteers?*
Is there easy access for our Volunteers to take the dogs outside for potty needs?*
As a nonprofit 501(c)3 organization, we rely on donations to help us fulfill our mission as a no-kill shelter. We ask for a $300 donation to schedule time for our Volunteers to bring 2-3 dogs to your location for up to 2 hours. Please click yes to signal to us that you have read this and agree to it. If you have questions about this, please include notes below or email Madeline at madeline@fiveacresanimalshelter.org*
- Yes!
Name of Direct Management Giving Approval for the Cuddle Break:*
First Last
Direct Management Email Address:*
Enter Email Confirm Email

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