School Name

If you have worked with us before please select your school from this list

Creekside College
St Pauls Kealba
Lalor Secondary
Craigieburn Primary
Copperfield College- Sydenham Campus
Copperfield College-Kingpark Campus
Greenvale Secondary College
Sunshine Development School
River Gum Primary School
Werribee Primary
Little River Primary School
Aitken Hills Primary School
University Park Primary
Frankston East Primary School - Group 1
Langwarrin Primary School
Melton West Primary School
Jacana School
Edgars Creek Primary
Tootgarook Primary
Salesian College
Hume Central Secondary - Dimboola campus
Wallan Secondary
Rangebank Primary School
Kurunjang Secondary School
Gaayip-Yagila Primary School
Fawkner Primary School
Carwatha College
Sydenham Hillside Primary (Sydenham)
Sydenham Hillside Primary (Hillside)
Resurrection School
Cranbourne Secondary
Glen Waverley Primary
Edenbrook Secondary
Fawkner Primary
Jackson School
University High School
Karingal Heights Primary
Findon Primary
St Albans Heights Primary
Footscray High School
Deer Park North Primary School
Roxburgh Homestead Primary School
Rosamond School
Point Cook College
Springvale Park SDS
Churchill Nth Primary School
Sacred Heart Primary School
St Thomas Moore Primary School
Gladstone Park Secondary
Hampton East School
Campbellfield Heights Primary
Yarraville Special Development School
The Grange P-12 College
Furlong School for Deaf Children
Glenroy College
Glenroy West Primary School
Whitehorse Primary School
Black Rock Primary School
Glenroy Specialist School
Moorooduc Primary
University Park Primary School
Hazel Glen College
Epping Views Primary
Werribee Primary
Tarneit P-9 College
Springvale Special Development School
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Organisation

Address *

Street Address

City

Postal code

Main Contact First Name *

Main Contact Last Name *

Phone *

Email *

Administration Contact Name *

Administration Contact Email *

Calendar Year *

2025

2026

2027

2028

Term *

Term 1

Term 2

Term 3

Term 4

What service are you booking? *

Single 8 week program

Dog for day - Full or Half

Programs Galore

Experience Connections

Canine Chronicles

Innovative Educator

What are your school recess and lunch times? *

Program choice 1

Communication on the Inside and Out
Friendship and Responsibility
Embrace Change
Flexible Thinking
Grief and Loss
Transition from Primary to Secondary
Reading Tails
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Program Choice 2

Communication on the Inside and Out
Friendship and Responsibility
Embrace Change
Grief and Loss
Flexible Thinking
Transition from Primary to Secondary
Reading Tails
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Program Choice 3

Communication on the Inside and Out
Friendship and Responsiblity
Embrace Change
Grief and Loss
Flexible Thinking
Transition from Primary to Secondary
Reading Tails
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Dog for a day schedule

Select your dog for a day schedule

Single Full day
Single Half Day
Multiple Full days
Multiple Half days
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Activity Focus

Communication

Friendship

Change

Grief and Loss

Safe Animal Handling

Mindfulness

Your Event

Weekday Preference 1 *

Monday
Tuesday
Wednesday
Thursday
Friday
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Time Preference 1 *

Weekday Preference 2 *

Monday
Tuesday
Wednesday
Thursday
Friday
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Time Preference 2 *

Week Day Preference 3 *

Monday
Tuesday
Wednesday
Thursday
Friday
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Time Preference 3 *

Year Level Participating *

Foundation - 3
Grade 3 - 6
Year 7 - 9
Year 9 - 12
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Year level participating group 2

Foundation - Grade 3
Grade 3 - 6
Year 7 - 9
Year 9 - 12
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Year level participating group 3

Foundation - Grade 3
Grade 3 - 6
Year 7 - 9
Year 9 - 12
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Funding Responsibility *

SFYS
School Mental Health Menu
Other Funding
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Is there anything else we need to know?

Is there parking available? If not where will the Mentor park? *

How did you hear about us? *

Current Client
Facebook
Website
Newsletter
Word of Mouth
School Mental Health Menu
SFYS
Past Client
Other
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