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Event Submission Form

Boston Medical Center

Form Submission Date

7/28/25, 4:00 AM

Requested Event Date

9/16

Administrative only Feedback

Obtained All Approvals?

Do You Need Insurance Rider?

no

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

Boston Medical Center

Street/Building

85 E Concord St

City or Town

Boston

Requested Date of Event

9/16

What time is your event?

1 hour, 3-4pm

Why do you wish for Pet Therapy at your Event?

We would love to bring some therapeutic moments to the resident and trainee doctors

Location(s) on premises reserved in advance?

yes

Event space indoors or outdoors?

Yes Indoor

Please provide a description the reserved location of event.

It is a conference room in the office part of the neurology department

Please describe Alternate Location if any

NA

What is the expected attendance?

30

Dogs/Cats or both?

Dogs Only

Minimum # teams requested

Maximum # teams requested

Have you considered how to promote this event?

Flyers and emails to our residents and trainees

Parking Arrangements

Parking Garage at 710 Albany Street Garage, https://www.bmc.org/visiting-us/directions-and-transportation/parking.
We will get a prepaid pass for 2 hours so it will be free for the volunteers.

Will other Pet Organizations be present?

NA

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

I will come open the locked building doors

Additional Details/Comments/Questions

Contact Information

Day of Event Contact Info

Name

Leigh Ann Mallinger

Cell Phone

8588866320

JobTitle

research assisstant

Alternate Day of Event Contact Info

Name

Ava Bakhtyari

Cell Phone

9784307334

JobTitle

attending physician

Event Requester Contact Info

Name

Leigh Ann Mallinger

Phone

8588866320

JobTitle

research assisstant

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