Parental Permission Slip

  • Dear Parents/Legal Guardians, Your child will be participating in the Green Dogs Unleashed Therapy Dogs Program on:
  • This program is designed to help students reduce stress and to help improve the reading skills of children by interacting with trained registered therapy dogs while at school.

    Handlers and their dogs will work with small groups of students whose parents or legal guardians have given their written authorization for their participation in the Green Dogs Unleashed Therapy Dog program, during school hours for approximately 15–20 minutes. There is no charge for this program. This permission form is to let you know that your child’s school has elected to participate in Green Dogs Unleashed Therapy Dog program. The therapy dogs and their handlers are fully insured and have undergone extensive training to participate in animal-assisted therapy.

    Participation by your child in this program will not begin until your written permission is received. You have the right to refuse participation in this program. Once you provide your written permission for your child to participate, if you do not revoke your permission by notifying Green Dogs Unleashed (GDU), your child shall remain enrolled in the Green Dogs Unleashed Therapy Dog program. You may at any time terminate your child’s authorization to participate.

    In addition to signing below, please indicate (by checking the appropriate box), whether your child is allergic to dogs or other animals. In the interest of your child’s safety, if your child is allergic, we cannot offer participation to your child in the program and we will work with your child’s school to make sure that dogs are not given authorized access to your child’s classroom.

    In the event you authorize (see below) GDU to photograph your child for possible publication in connection with publicity regarding the Green Dogs Unleashed Therapy Dogs program, GDU shall have the right in its sole discretion to use or not use any photographs of your child taken during your child’s participation in the program. Any such photographs shall be the sole and exclusive property of GDU and you agree that you are not entitled to view any such photographs prior to use by GDU as authorized herein.

    By signing this permission form, you agree to hold GDU and the volunteer, harmless from and against any claim that arises out of your child’s participation in the Green Dogs Unleashed Therapy Dogs program, except for any claim arising out of the negligence or misconduct of GDU or any volunteer.

    Should you have any other questions, concerns or comments for Green Dogs Unleashed, please contact us at greendogsunleashed@yahoo.com

    This signed Parental Permission Slip is required to participate in this program.
  • I DO give permission for my child:
  • to participate in the Green Dogs Unleashed Therapy Dogs Program.
  • I DO NOT give permission for my child:
  • to participate in the Green Dogs Unleashed Therapy Dogs Program.
  • I give permission for my child to be photographed for possible publication.
  • This field is for validation purposes and should be left unchanged.

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About Us

Green Dogs Unleashed is a non-profit organization committed to rescuing, rehabilitating and professionally training animals in need to become therapy dogs, then placing them in homes to give back to the community. We focus on the rescue, rehabilitation and training of special needs animals to work with special needs humans. 

All of our animals are currently trained and rehabilitated at Unleashed Canine Training Academy in Troy, VA.