Event Submission Form
Residence at Freeman Lake
Form Submission Date
11/2/22, 4:00 AM
Requested Event Date
Flexible
Administrative only Feedback
asked her to set up an appt. she has tried to call me twice when I am not available to speak easily. tried to call her back but no answer.
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
Residence at Freeman Lake
Street/Building
4 Technology Dr
City or Town
Chelmsford
Website
Requested Date of Event
Flexible
What time is your event?
Flexible
Why do you wish for Pet Therapy at your Event?
Pet Therapy
Location(s) on premises reserved in advance?
Yes Indoor
Event space indoors or outdoors?
Please provide a description the reserved location of event.
Assisted Living, Memory Care
Please describe Alternate Location if any
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
Lots of parking
Will other Pet Organizations be present?
No
Outline any protocols needed for volunteers to come to your facility.
Masks required
Additional Details/Comments/Questions
N/A
Contact Information
Day of Event Contact Info
Name
Lindsey Evans
(603)714-9192
Cell Phone
JobTitle
Alternate Day of Event Contact Info
Name
Cell Phone
JobTitle
Event Requester Contact Info
Name
Lindsey Evans
Phone
6037149192
JobTitle
Director of Memory Care