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Allergic reactions are understandably something parents and educators may be concerned about, specifically potential allergic reactions to dogs within our school environments. Officer Brenes, our SRO and Charlie’s dog handler, is required to meet cleanliness and grooming requirements in order to minimize allergic contact. Charlie, our Comfort K9 Dog, will only be put in situations where students voluntarily participate, thus avoiding risky contact.

  • If there is an objection or allergy to your child being around Comfort K9 Charlie, you can let us know by completing this survey.
  • If you have no issue or objection to your child interacting with our Comfort K9 Charlie, NO ACTION is required on your part.

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Your First Name:

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Your Last Name:

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Your Email Address:

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Your Child’s First Name:

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Your Child’s Last Name:

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Your Child's Date of Birth

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Your Child’s School:

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Your Child’s Grade:

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Is your child allergic to dogs?

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Any additional medical needs to your child involving the dog:

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Does your child have a fear of dogs?

*If your child has a fear of dogs and would like to meet K9 Charlie at a separate location to work on overcoming their fears with a parent please let me know by emailing me at bbrenes@reverek12.org.

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Do you object to your child having any contact with Comfort K9 Charlie?

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Please explain your wishes for restricting your child’s interaction with Comfort K9 Charlie:

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Your Signature (please type first and last name):

*My electronic signature shall be deemed an authentic signature.
If you have no issue or objection to your child interacting with our Comfort K9 Charlie, you DO NOT need to submit this form.

As medical issues for your child change over time please keep this form in mind. You can contact me at bbrenes@reverek12.org or your child’s school nurse.

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