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Home My WebLink AboutContract 46335 % PET HART C1TY SIEC�TAW —r i+ e S. CONTRACT NO- Adoption Event Application PetSmart Charities and PetSmart stores have formed a partnership to help promote multi-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 eight weeks prior to event (unless otherwise communicated via CASE). Store Manager must complete and submit Event Request on Fetch/Adoptions to initiate landlord approval EVENT DATES: 11' STORE #: 1Q fO`J Event will be held: (circle one) in-store parking lot sidewalk grassy/median area COLLABORATIVE ADOPTION GOAL FOR EVENT: This Event 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 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 1. Group Name Group# Same day adoptions Y/N 2. Group Name Group# Same day adoptions Y/N 3. Group Name Group# Same day adoptions Y/N 4. Group Name Group# Same day adoptions Y/N 5. Group Name Group# Same day adoptions Y/N 6. Group Name Group# Same day adoptions Y/N 7. Group Name Group# Same day adoptions Y/N 8. Group Name Group# Same day adoptions Y/N 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 partners budget for reimbursement. Date verified: ❑ 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 eight weeks prior to event(unless otherwise communicated via CASE). STORE MANAGER Fax all pages to 623-580-6519 CITY SECRETARY RECEIVED JAN 12 AM, FT. WORTH,TX Adaption e%ent appicalion - - Reused 812 512 01 4 PETSMART 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 A7 +W oay i 1Tn 1mal eA rt p �_Omq PetSmart Charities®Adoption Partner iiG��roup Number: 1511 (if applicable) Mailing Address: �Do m aril n S 1 Jr �b Vt r#\,i�( --1 (0 1 jai Executive Director Name: 3 a nd 5 Ko ` Website Address: NNWW • i (1 1Y1nQ�LJ Event Contact Person, if different from Executive Director above: Contact Phone#: ` l' �E-mail Address for Contact: Q cl e- ,(� wlm-6TC, -� Store Number or Location of Event: '2-001:). Will the event be held during a Pet mart Store Grand Opening? Yes No i/ Event Date(s) and Time: Number of Groups Participating: Species of Pets at Event: 1 F , e, What is special or unique about this event? lil yy e4erA Adoption Event Goal is: (this number should include all participating agencies) Number of pets you will ve a ailable for adoption at the event: Cats Dogs Funding Requested: $ 15 0 How will funding be utilized (include marketing and advertising plan): FO V1 W(11 be, 6ej -iv rem} CIL 41wt ; PrIn b/b `15 U161 Vir Yl'b�l ; s Participant-Required Criteria: 6 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 G At Ieastl00 percent of adoptions must be initiated on-site 6 Participant must ensure that enough adoptable pets are available to meet or exceed goal (best practice is to have double the amount of pets available to achieve goal) 6 There must be no competing vendor services, products, fundraisers (without PetSmart Charities approval) 6 All pets at the event will be spayed or neutered 6 Partner must provide secure kennel runs or cages/crates and a separate area for cats 6 Partner must provide perimeter fencing 6 The event must have tents with panels to shield from sun, rain and inclement weather 6 Temperatures must range between 600 and 90° (15-32.2°C) in the areal in which adoptions are taking place to be considered safe. If temperatures are not within this range, adoptions cannot take place outside. 6 There must be a secure, separate meet-and-greet area(s) (for dogs and cats) *Area refers to theplace where the pets are located during the adoption process Adoption event appluAlon -2 - Reused 8/292014 PETSMART BUDGET: Must be completed by Lead Partner and signed by Executive Director/President or authorized representative - Return to yourstore manageralong with all required attachments. PetSmart Charities sponsorships for adoption events are limited, as we must spread the funding across many communities. We cannot cover costs for vehicles, gas, staffing, t-shirts, food and beverage, or other expenses not directly connected to adoptions at the event. Once approved, funding for the approved, budgeted items will be issued to the lead partner, who will be responsible for submitting an expense report thirty (30)days after the event. The report must include all invoices and cancelled checks evidencing the expenditures of the Grant. Any changes to the budget must be pre-approved by sending an email to adoptions(o-)ssg.petsmart.com NEED Size Qty BUDGETED COST Permits, if required lead partner will obtain and paV for out of budget monies received ■ Landlord Fee ■ City license/permit ■ Fire Marshall permit ` Rental expenses (type/size/how many) o ; ■ Tents S tctf-er or qir' 0Dn 4)�'im i ■ Tables %D,'v • Chairs LO Purchase pet containment(type/size/how many) ■ Crates ■ Carriers ■ X-pens Marketing and Advertising • Radio Remote • Print Media r6aX00 �� ■ Television TOTAL q REQUEST *purchases for this event can be from a vendor of your choice* HOW CAN YOU SAVE MONEY ON EVENT EXPENSES? HERE ARE SONIE IDEAS! ➢ The Store Manager can often provide the following at NO COST TO YOU: S Pet food ig Hand sanitizer ii Office/Stationery supplies ii Litter G Paper towels ii Dog & cat treats for use on site during event S Trash cans 9 Adoption release forms ig Pooper scoopers ifi WatchDog Cleanser G Cops station 9 Cage cards ➢ To reduce expenses for rented equipment, try these ideas: ■ If you will be using these items more than once a year, it may be less expensive to buy rather than continue to rent. ■ Contact schools, churches, temples, YMCA/YWCA, and other community buildings about borrowing these items or renting at a much lower fee than a "party service" will charge. ■ Collaborate with other local agencies (animal and non-animal interests). Work together and buy these items to be shared during events. If each agency uses them once annually, you'll all save on rental costs. Use the same idea to collect crates. I (signature), Executive Director/President or authorized representative understAnd and agree to the responsibilities outlined in this funding request. Date: O . 0%. Adoption event appication - 3 - Reused 8/2512014 As part of the event we've been invited to participate in, our organization agrees to: 1. If event is at a PetSmart store location ensure all in-store adopters complete and sign the PetSmart°Adoption Release Form. 2. If event is at a PetSmart store location, ensure staff or volunteers take adopters into the store to scan PetSmart 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: 6 Greet and get to know pet parents—Your staff and volunteers love pets and so do our pet parents and associates. This is easy! G Treat everyone as potential adoptive pet parents —"I'mjust looking" sometimes means "I'm shy." They may "just be looking" for someone else to refer to you! 6 Determine their needs—As you get to know them, you'll discover their image of the perfect pet. Ce 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. 6 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 bolds 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 Representativ of the Applicant: 1 ' k,� Si nature Print Name PDA N1- Title Date / V�. Adoption e%.enl appfcation -4 - Reused 812512014 P14411WART OFFICIAL RECORD pp • CITY SECRETARY Qr��leS WORTH,TX FT.WOR 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 �8weeks prior rttothe p�event. 1� Organization Name: lil T�1 br f bVl,'� r O� i.VI -rl iw al Care Name of Executive Director. 2fthdq S e b Organization Address: LHOO not I *Be City, State, Zip: ► vt I �ly�,` ► 1 a IlJ l PetSmart Group Number: Website Address: h rk V OY* Name of Event Contact Person, if different from Director above: 'R 6 Ogj%/Ke Phone#for Contact: l - 3 01)-`Ico Fax# for Contact: V{ 1 `m d Email address for Contact: ? A, p U�G �, 6 r4+% 45• bd Number of pets you will have available for adoption at the event: Cats_ Dogs_ As part of this multi-partner event, our organization agrees to the following: 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 pa 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. 9 ' I � ignature), Executive Director/President of (Organizations Name) understand and agree to the responsibilities outlined in this fun g request. Today's date Return this document PROMPTLY to the Store Manager to be submitted with the res he appl' a e � 9 b ° o0 s o= Mary J. K vaq se ! Ci TEXAS NO M&C REQUIRED Adoption event appication - 5 - �---�— %hsed 8/292014