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Event Submission Form

Project New Hope Inc.

Form Submission Date

8/1/23, 4:00 AM

Requested Event Date

11/2/23

Administrative only Feedback

Told Shelby no and to sign up for community placement

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

Project New Hope Inc.

Street/Building

70 James Street

City or Town

Worcester

Website

Requested Date of Event

11/2/23

What time is your event?

10:00 - 11:00

Why do you wish for Pet Therapy at your Event?

Monthly Veterans Group - provide therapeutic support for Veterans during the group

Location(s) on premises reserved in advance?

Yes Indoor

Event space indoors or outdoors?

Please provide a description the reserved location of event.

70 James Street, Suite 129A, Worcester, MA 01603

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

Large parking lot across from office building

Will other Pet Organizations be present?

No

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

N/A

Additional Details/Comments/Questions

N/A

Contact Information

Day of Event Contact Info

Name

Shelby Frysinger, 508-762-1459

Cell Phone

Email

JobTitle

Alternate Day of Event Contact Info

Name

Email

Cell Phone

JobTitle

Event Requester Contact Info

Name

Shelby Frysinger

Phone

5087621459

JobTitle

Case Manager

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