Event Submission Form
New Start Brain Injury Community Center
Form Submission Date
4/20/26, 4:00 AM
Requested Event Date
Wednesday 6/10/26
Administrative only Feedback
Obtained All Approvals?
Do You Need Insurance Rider?
no
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
New Start Brain Injury Community Center
Street/Building
15 salem st
City or Town
worcester
Requested Date of Event
Wednesday 6/10/26
What time is your event?
11:00am-12:00pm
Why do you wish for Pet Therapy at your Event?
Location(s) on premises reserved in advance?
yes
Event space indoors or outdoors?
Yes Indoor
Please provide a description the reserved location of event.
We are a day Community Center for Adults with Brain Injuries.
Please describe Alternate Location if any
What is the expected attendance?
25-28
Dogs/Cats or both?
Dogs Only
Minimum # teams requested
Maximum # teams requested
Have you considered how to promote this event?
We will produce a flyer to distribute to our community members . Your logo would be great
Parking Arrangements
We have parking available right outside of our building ? No extra walking necessary
Will other Pet Organizations be present?
No
Outline any protocols needed for volunteers to come to your facility.
N/A
Additional Details/Comments/Questions
Contact Information
Day of Event Contact Info
Name
Michelle Martin
Cell Phone
508-326-9873
JobTitle
Senior Program Director
Alternate Day of Event Contact Info
Name
Jean Ladouceur
Cell Phone
774-530-6220
JobTitle
Coordinator
Event Requester Contact Info
Name
Michelle Martin
Phone
508-326-9873
JobTitle
Senior Program Director