Survey - Social Distancing Birthday Celebration

Thank you for your interest in a socially distant birthday celebration with San Diego Humane Society!

Please complete the survey below so we can plan your celebration. We will be in touch over the phone to collect payment information.

Please contact Lauren Worley lworley@sdhumane.org with any further questions.

*1.

Question - Required - Child's Name

*2.

Question - Required - Parent's email address

*3.

Question - Required - Parent's phone number

*4.

Question - Required - Child's birthday

Month

Day

Year

*5.

Question - Required - Child's age on birthday

*6.

Question - Required - Which social distance party would you like to have?

*7.

Question - Required - Date and time you would like the celebration to take place.

*8.

Question - Required - Please select three animals that your child would like included in their birthday card! Animals are based on availability and not guaranteed.
Please make between 1 and 3 selections from the choices below.

	Dog
	Cat
	Rabbit
	Guinea Pig
	Rat

*9.

Question - Required - Please select the stuffed animal that your child would like in their goody bag.

*10.

Question - Required - Please select the craft that your child would like included in their goody bag.