Event Submission Form
Resident
Form Submission Date
1/19/23, 5:00 AM
Requested Event Date
Anytime
Administrative only Feedback
NOt an event. left a message to try to find out more, responded that she is out of town and will reach out when she is back. nothing as of 2/16/23
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
Resident
Street/Building
1116 Mammoth Road
City or Town
Pelham
Website
Requested Date of Event
Anytime
What time is your event?
Anytime or day after 11:00am
Why do you wish for Pet Therapy at your Event?
To give my elderly parents something to look forward to. They've had dogs all their lives and want nothing more than to have another to love however, they no longer have the ability to care for them (other than unconditionally love him/her) due to cancer and other debilitating medical conditions.
Location(s) on premises reserved in advance?
Yes Indoor
Event space indoors or outdoors?
Please provide a description the reserved location of event.
Residents home @ 1116 Mammoth Road, Pelham, NH 03076
Please describe Alternate Location if any
N/A
What is the expected attendance?
Dogs/Cats or both?
Dogs Only
Minimum # teams requested
1
Maximum # teams requested
1
Have you considered how to promote this event?
Link or Map of your Campus
Parking Arrangements
Personal driveway
Will other Pet Organizations be present?
No
Outline any protocols needed for volunteers to come to your facility.
N/A
Additional Details/Comments/Questions
If you do not have the ability to provide this type of service, could you point me in the right direction for an organization that might? Having a dog visit my parents would bring such joy to them.
Contact Information
Day of Event Contact Info
Name
Kim Moreschi, 603-943-3259
Cell Phone
JobTitle
Alternate Day of Event Contact Info
Name
Cell Phone
JobTitle