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Event Submission Form

Merrimack College

Form Submission Date

11/10/22, 5:00 AM

Requested Event Date

12-12-2022

Administrative only Feedback

4 of us. Lola, bridget, jack and lula

Obtained All Approvals?

Do You Need Insurance Rider?

Pets & People Photo Policy

Read Event Planning Guide?

Corporate

Booked P&P in last 2years?

Yes

How'd you learn about P&P?

Name of School, College or Corporation

Merrimack College

Street/Building

315 Turnpike Street

City or Town

North Andover

Website

Requested Date of Event

12-12-2022

What time is your event?

Monday, December 12, 2022 @ 11:00 a.m. - 1:00 p.m.

Why do you wish for Pet Therapy at your Event?

Reading Day - Students prepare for final exams.

Location(s) on premises reserved in advance?

Yes Indoor

Event space indoors or outdoors?

Please provide a description the reserved location of event.

Inside of the McQuade Building with ease to parking lot.

Please describe Alternate Location if any

What is the expected attendance?

Dogs/Cats or both?

Dogs and Cats

Minimum # teams requested

1

Maximum # teams requested

5

Have you considered how to promote this event?

Link or Map of your Campus

Parking Arrangements

Reserved parking will be available next to the building.

Will other Pet Organizations be present?

No

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

Visitors agrees that all personnel assigned to Merrimack College will complete an attestation form regarding their vaccination status for COVID-19. The attestation form will serve as acknowledgement of the College’s COVID-19 vaccination and face covering policies. Visitors further agrees to continue to be in compliance with any reasonable COVID-19 requirements of the College should any changes to the current policy take place.

Additional Details/Comments/Questions

The attestation form will be available at the time of the event.

Contact Information

Day of Event Contact Info

Name

Connelly Clifford, Wellness Educator 978-837-5922

Cell Phone

Email

JobTitle

Alternate Day of Event Contact Info

Name

Email

Cell Phone

JobTitle

Event Requester Contact Info

Name

Katie Tavares

Phone

978-837-5922

JobTitle

Practice Manager

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