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Event Submission Form

Sudbury Board of Health Social Work Department

Form Submission Date

2/20/25, 5:00 AM

Requested Event Date

5/14/25 Wednesday or 5/16 Friday

Administrative only Feedback

posted 2-25 for Friday May 16 wanted to leave middle of week for others that might sign up.

Obtained All Approvals?

Do You Need Insurance Rider?

yes

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

Sudbury Board of Health Social Work Department

Street/Building

40 Fairbank Rd

City or Town

Sudbury

Website

event to take place at: https://sudburyseniorcenter.org/

Requested Date of Event

5/14/25 Wednesday or 5/16 Friday

What time is your event?

5/14 2-3:15 or 5/16 12:30-1:45

Why do you wish for Pet Therapy at your Event?

For May mental health month we are hosting different talks and self-care activities for Sudbury residents. We would like to include this event for older residents in Sudbury to be held at the Senior Center as a way to have a relaxing and calming experience that promotes wellness.

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 have reserved a large multi-purpose room in the Senior Center. If both cats and dogs can come, we can put up a partial divider in the middle of the room.

Please describe Alternate Location if any

none

What is the expected attendance?

I am not sure, maybe 20-30

Dogs/Cats or both?

Dogs and Cats

Minimum # teams requested

Maximum # teams requested

Have you considered how to promote this event?

We will be posting on our Social Work website, the town of Sudbury website, the Senior Center will promote in their monthly newsletter and website and in their facility. We will also get it posted to social media and to seniors who live in Sudbury Public Housing.

Parking Arrangements

There is a free parking lot right in front of the Senior Center building. Very close to the building. I would meet the volunteers right at the front of the building to bring them into the room where they would be. IF coming from Hudson Rd and taking a left or right on Fairbank Road, the Senior Center parking lot will be directly on the right. There are signs. If coming from the direction of Route 27 onto Fairbanks, will pass the Community Center parking lot on the left and then take the next left into the Senior Center parking lot. The Senior Center and Community Center are in one building but have different entrances and different parking lots. Be sure to park in the Senior Center parking lot. I can be reached by cell if any direction questions that day at 978-493-1814.

Will other Pet Organizations be present?

no

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

I will meet them outside at the Senior Center front entrance and bring them to the room where it will be held. There are no other protocols.

Additional Details/Comments/Questions

If this is accepted, we would like to request a copy of the rabis documentation. We also would request a rider for the Town of Sudbury and for the invoice to state that it is for the insurance rider.

Contact Information

Day of Event Contact Info

Name

Nina Lurie

Cell Phone

978-493-1814

JobTitle

Social Worker

Alternate Day of Event Contact Info

Name

Kirstin Wilcox

Cell Phone

089-246-3660

JobTitle

Social Worker

Event Requester Contact Info

Name

Nina Lurie

Phone

978-493-1814

JobTitle

Social Worker

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