HomeMy WebLinkAboutContract 45874 PET§MART
CWY SECRUAW
a i-if es CONTRACT NO.
Adoption Event Application
PetSmart Charities and PetSmart stores have formed a partnership to help promote rnulti-agency adoption events at
PetSmart stores. This is an application for approval to HOST an event at PetSmart. It is possible that an event will be
approved but full or partial sponsorship funding may be unavailable.
PART 1: Store Manager completes this page and submits no later than one month prior to event.
EVENT DATES: STORE #:
Event will be held: (circle one) in-store parking lot sidewalk grassy/median area
COLLABORATIVE ADOPTION GOAL FOR EVENT:
These events must be able to support a minimum goal of 40 adoptions; in order to achieve this goal,participating
adoption partners must provide double the amount of pets available over the course of the event.
NUMBER OF ADOPTION PARTNERS WILL BE PARTICIPATING IN THIS EVENT
INCLUDE NAMES AND GROUP#'S OF PARTNERS PARTICIPATING IN THIS EVENT: All participants
must be approved PetSmart Adoption Partners— Group Numbers must be visible in your POS
STORE MANAGER RESPONSIBILITIES CHECK LIST:
❑ Evaluate and confirm that the selected space is capable of handling this size event (will not impede foot traffic,
vehicular traffic, parking, etc.). Outdoor/Parking Lot Events may occur on premises outside of a store
(sidewalk, grassy area or actual parking lot) dependent on landlord approval.
Verify the lead organization has obtained any required local licenses or permits (i.e. City, Fire Marshal). Permit
costs for must be included in the lead partner's budget for reimbursement. Date verified:
Request landlord approval via lease administration Adoption Eve ntAssist(fsscl.petsmart.com a minimum
of 6 weeks prior to the event. 'Under no circumstance should anyone other than Lease Administration or
PetSmart Legal Team execute/sign any agreement.
During the event, provide a PetSmart space to include Salon, Training, PetsHotel, and/or Banfield if applicable at
your store.
❑ At the event, provide enough food, litter, and water for adoptable pets
DATE SUBMITTED (at least 1 month prior to event!) STORE MANAGER
r Fax all pages to 623-580-6519
r�
Z
ri
L_J
a
o"
® OFFICIAL RECORD
Adwbon event appfcalion - - CITY SECRUA Yy
FT. WORTH, TX
Adoption Event
Participation Application and Commitment Form
The Lead`Adoption Partners must complete, sign and return this form via fax to: 623-580-6519
Organization Name:
PetSmart Charities"Adoption Partner Group Number: �� F (if applicable)
Mailing Address: r�C1�h�� Alir �a�c•c �. �t ('�
Executive DirectorNamq:
WebsiteAddress:� ! Y-a 6rS� � r�;r '�C, 5 (t,��, ` S
?.
Event Contact Person, if different from Executive Director above: c - u
Contact Phone#: �113elll 12, E-mail Address for Contact: ie-(.O c ;
%Store Number or Location of Event: ��,
Will the event be held during a PetSmart Store Grand Opening? Yes No V"'
Event Date(s) and Time: _ �y�� ,�' 1A v;
Number of Groups Participating: Species of Pets at Event:
What is special or unique about this event? ; } �„y�
Our Adoption Goal is:
Funding Requested:
How will funding be utilized:
to )0e
Participant-Required Criteria:
r6 Partner will support the promotion of the event via approved marketing such as websites, media sponsorship,
social media, signage, flyers, with mention of PetSmart Charities in press release and any publication with the
approved PetSmart Charities logo
iii At least 80 percent of adoptions must be facilitated on-site
w Participant must ensure that enough adoptable pets are available to meet or exceed goal
16 There must be no competing vendor services, products, fundraisers (without PetSmart Charities approval)
All pets at the event will be spayed or neutered
Partner must provide secure kennel runs and a separate area for cats
iii Partner must provide perimeter fencing
16 The event must have tents with panels to shield from sun, rain and inclement weather
There must be a secure, separate meet-and-greet area(s) (for dogs and cats)
kdopton Pwnt appfciion - 2 - Revised 412010
,
BUDGET: Must be completed by Lead Partner and signed by Executive Director/President or authorized
representative - Return to your store manager along with all required attachments.
PetSmart Charities sponsorships for adoption events are limited, as we must spread the funding across many
communities. We cannot dover costs for vehicles, gas, staffing, t-shirts, radio station remotes, or other expenses not
directly connected to adoptions attheevent, Once approved, a check for the approved, budgeted items will bn
issued 8u the lead partner, who will be responsible for submitting an expense report thirty (3D)days after the event The
report must include all invoices and cancelled checks evidencing the expenditures of the Grant. Any changes hothe
budget must bn pre-approved by contacting Anita Garcia mt
COST
Permits, if required lead partner will obtain and pay for out of budget
monies received
X Landlord Fee
a City license/permit
Other (explain)
Fire Marshall permit
Rental expenses (type/size/how many
Tables
Chairs
Other (explain)
Purchase pet containment(type/size/how manV)
9 Crates
—0 Carriers
Other (explain
Purchase water and food for volunteers("xlain
TOTAL REQUEST
'
HOW CAN YOU SAVE MONEY DNEVENT EXPENSES? HERE ARE SOME IDEAS!
~
The Store Manager can often provide the following atNO COST TOYOU:
16 Pet food ui Hundaonihzmr 16 Office/Shationeryaupp|ieu
. uCa Litter 16 Paper towels *ii Dog & cat treats for use on site during event
mi Trash cans m6 Adoption release forms
u6 Poopers000pero mi VVohzhDogC|eonoer
/6 OopnateUon mi Cage cards
� To reduce expenses for rented equipment,try these ideas:
" |f you will be using these items more than once o year, it may be less expensive to buy rather than continue to rent,
° Contact schools, churches, temples, YMCANWCA, and other community buildings about borrowing these items or
renting at much lower fee than m "party service"will charge.
8 Collaborate with other local agencies(animal and non-anima{intmneote). Work together and buy these items to be
shared during events. |f each agency uses them once annually, you'll all save on rental costs. Use the same idea
to collect crates.
understand and agree to the responsibilities outlined in this funding request.
(signature), Executive Director/President or authorized representative
A,5,sistpuat 04y
'
[OFFICIAL RECORD
As part of the event we've been invited to participate in, our organization agrees to: I s�CRETARY
1. If event is at a PetSmart store location ensure all in-stone adopters complete and sign th oDtiio
Release Form. ab H AA
2. If event is at a PetSmart store location, ensure staff or volunteers take adopters into the s o
Adoption Release Forms before the adopter leaves. Scanning validates the adoption and determines accurate
Adoption Rewards payments.
3. Provide a clean, safe environment for healthy, friendly, adoptable pets.
4. If event is at a PetSmart store location, refrain from selling of products and/or fundraising.
5. Provide total adoption numbers after the event to PCI, broken out by species (dogs, cats. small pets) and
participating organization.
6. If event is at a PetSmart store location, only approved PetSmart Charities partners can participate.
7. If the event is at an approved off-site venue the lead organization will receive a form for tracking adoptions that
each participating organization must complete.
As part of the event we've been invited to participate in, our organization agrees to:
r. Greet and get to know pet parents—Your staff and volunteers love pets and so do our pet parents and
associates. This is easy!
16 Treat everyone as potential adoptive pet parents—"I'm just looking" sometimes means "I'm shy." They may
"just be looking" for someone else to refer to you!
w Determine their needs—As you get to know them, you'll discover their image of the perfect pet.
+it Educate, inform, and provide alternatives—You have the expertise that a potential adopter needs! Educate
them on the adoption process, inform them of the responsibility of having a pet as well as their desired pet's
history, provide alternatives if an adoption is not in the pet's and their best interest.
i. Thank them for considering pet adoption!
Representation of Accuracy, Compliance and Permission to Inquire
I, the undersigned person, on behalf of Applicant, represent to PetSmart Charities, Inc. ("PCI") that: (1) 1 am authorized to
submit this application and make all representations provided in and with this application; and (2) to the best of my
knowledge, the information contained in this application is true and accurate. On behalf of the Applicant and its officers,
directors, employees and volunteers, I grant permission to PCI, its staff and any other designated representatives to make
inquiries with, and request documentation from, third parties about Applicant and the contents of this application, to assist
in the evaluation of this grant request.
In addition, as of the date of signing, the Applicant represents to PCI that: (1) the Applicant is either (a)an organization
exempt from federal income tax under Section 501(c)(3)of the Internal Revenue Code of 1986 (the "Code")which is not a
private foundation under Section 509(a)of the Code, (b) a governmental entity identified in Section 170(c)(1)of the Code
that will use the grant for exclusively public purposes, or(c)an "Indian tribal government," as described under Section
7701(a)(40)of the Code, that is treated as a State under Section 7871 of the Code and that will use the grant for
exclusively public purposes; (2)the Applicant validly holds and maintains all licenses, permits, and registrations, and has
satisfied all similar requirements, necessary for its lawful operation, (3)the Applicant is in compliance with all applicable
local, state, tribal and federal laws, regulations and other requirements to which the Applicant is subject; and (4) the
Applicant is not on any federal terrorism"watch list"and all Grant Funds will be used in compliance with all applicable anti-
terrorist financing and asset control laws, statues and executive orders. The Applicant agrees to notify PCI promptly in
writing of any change in the information represented herein.
Signed by Authorized Representative of the Applicant:
IF
Charles W. han)els 00°0400000 roR v
gnature Print Name
° ao�
0
`
o
As51.54anf Cf jy Manajlr„' 08. 20. 14- g °`w
o
Title Date !/
00"
APPROVED AS TO FORM AND LEGALITY, Apeod by;
Adopfon e%ent appicalion -4 - ` Reused 412010
Assistant City AttoMey - Mary L Kayser, City Secretary
PIE41AART
Adoption Partner Event Application
PART 3: To be completed by EVERY participating partner. Store Manager,make a copy for each participating
partner to be completed, signed;and returned to the Store Manager to be submitted for approval with the request
packet no less than 6 weeks prior to the event. (i —
Organization Name: � �'� car � �-1h� u( l VK. A Cdr vr��
Nam of Executive Director:C►-a-, ��e
Organization Address: Al )( „,L n` j � -
City, State, Zip: !-L4 : ��t�
PetSmart Group Number: I I Website Address:
Name of Event Contact Person, if different from Director above: t;ckeA O pal , r L
Phone #for Contact: j q W -�C l Fax# for Contact:
Email address for Contact: u�h�'
As part of this multi-partner event, our organization agrees to the following:
L F7 Support schedule created by the lead partner and Store Manager, will set up before the event is scheduled to
begin and clean up after the event has ended each day
Ev Support schedule created by the lead partner and Store Manager, will provide agreed-upon volunteers,
equipment, and supplies (PetSmart store will provide food, water, and litter for pets)
Will provide clean, safe environments for adoptable pets in the event space provided
Will refrain from selling of products and/or fundraising
Will support positive communication and refrain from any disparaging communication related to
customers, other partners, PetSmart, PetSmart Charities, the event or store staff.
I (signature), Executive Director/President of
(Organizations Name) understand and agree to the responsibilities outlined in this funding request.
Today's date
Return this document PROMPTLY to the Store Manager to be submitted with the rest of the application packet.
rAdtrpgan event appielitsn - 5 - Reused 412010