Please read and submit the form
The information I have provided in this application is true and complete to the best of my knowledge. I will support Madonna's mission and core values, and all rules governing the Angel Dogs program during my volunteer service at Madonna. I will hold as absolutely confidential all information that I may obtain directly or indirectly concerning patients, residents or staff. My services and those of my certified therapy dog will be donated to Madonna Rehabilitation Hospitals without contemplation of compensation or future employment and are given for humanitarian and charitable reasons.