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Event Submission Form

Oliver Ames High School

Form Submission Date

11/21/22, 5:00 AM

Requested Event Date

1/18/23 12 pm or 1/19/23 at 12 pm

Administrative only Feedback

2 Sunny and Gracie

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

Oliver Ames High School

Street/Building

100 Lothrop Street

City or Town

Easton

Website

Requested Date of Event

1/18/23 12 pm or 1/19/23 at 12 pm

What time is your event?

We are looking to have this event take place during mid terms at our school to provide some support for our students

Why do you wish for Pet Therapy at your Event?

Active Minds is a club with a goal to end the stigma behind mental health and hold events to help support students mental health. This even would be held during Mid terms which is a stressful time for students and therefore the purpose is to provide some emotional support for students.

Location(s) on premises reserved in advance?

Yes Indoor

Event space indoors or outdoors?

Please provide a description the reserved location of event.

https://cms1files.revize.com/eastonpublicschools/TRAFFIC%20FLOW%20for%20OPENING%20of%20SCHOOL%202014.pdf
You can enter the building through the front entrance you will sign in. We will meet you there and then take you to the gymnasium for the event.

Please describe Alternate Location if any

What is the expected attendance?

Dogs/Cats or both?

Dogs Only

Minimum # teams requested

6

Maximum # teams requested

6

Have you considered how to promote this event?

Link or Map of your Campus

Parking Arrangements

there is parking in front of the main entrance

Will other Pet Organizations be present?

No

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

Masks are optional

Additional Details/Comments/Questions

the district asks that you Please provide us with a copy of your certification and insurance.

Contact Information

Day of Event Contact Info

Name

Kristin Urciuoli, School Adjustment Counselor- Active Minds Co-Advisor-774-218-1020
Leanne Fleming, Special Education Teacher- Active Minds Co-Advisor 508-468-5732

Cell Phone

Email

JobTitle

Alternate Day of Event Contact Info

Name

Email

Cell Phone

JobTitle

Event Requester Contact Info

Name

Kristin Urciuoli

Phone

508-230-3210 X1408

JobTitle

School Adjustment Counselor/Active Minds Co-Advisor

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