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Event Submission Form

Newbury Court

Form Submission Date

7/13/23, 4:00 AM

Requested Event Date

weekly visits on Saturday or Sunday Saturday- 2:00 Sunday 4:00

Administrative only Feedback

NOT and event

Obtained All Approvals?

Do You Need Insurance Rider?

Pets & People Photo Policy

Read Event Planning Guide?

Corporate

Booked P&P in last 2years?

No

How'd you learn about P&P?

Name of School, College or Corporation

Newbury Court

Street/Building

80 Deaconess Rd.

City or Town

Concord

Website

Requested Date of Event

weekly visits on Saturday or Sunday Saturday- 2:00 Sunday 4:00

What time is your event?

Weekly Dog visits on Saturday and Sunday?

Why do you wish for Pet Therapy at your Event?

Pet therapy for seniors

Location(s) on premises reserved in advance?

Yes Indoor

Event space indoors or outdoors?

Please provide a description the reserved location of event.

We are located conveniently off of route 2 right next to Emmerson Hospital

Please describe Alternate Location if any

the event will be indoors

What is the expected attendance?

Dogs/Cats or both?

Dogs and Cats

Minimum # teams requested

1

Maximum # teams requested

2

Have you considered how to promote this event?

Link or Map of your Campus

Parking Arrangements

Parking is located right outside of our unit at 80 Deaconess Rd.

Will other Pet Organizations be present?

no

Outline any protocols needed for volunteers to come to your facility.

No masking is currently required. Volunteers will still be asked to screen at the door

Additional Details/Comments/Questions

No additional comments at this time

Contact Information

Day of Event Contact Info

Name

Michael Croteau

Cell Phone

Email

JobTitle

Alternate Day of Event Contact Info

Name

Email

Cell Phone

JobTitle

Event Requester Contact Info

Name

Michael Croteau

Phone

508-826-8647

JobTitle

Activity Director

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