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
JobTitle
Alternate Day of Event Contact Info
Name
Cell Phone
JobTitle
Event Requester Contact Info
Name
Kristin Urciuoli
Phone
508-230-3210 X1408
JobTitle
School Adjustment Counselor/Active Minds Co-Advisor

