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RWU Animal Event on Campus Request Form
Today's Date: March 28, 2025

Please complete the following form to request an animal event on campus. Click the arrow button at the bottom of the page under the signature box to electronically submit the request. Please save a copy of the completed request (will automatically direct you to that page after submission) for your records.

Please submit at least 30 days in advance of your event. Please do not sign contracts or put down deposits until the event has been approved by EHS.

Thank you,
EHS Director Kathy Souza (x3494 / ksouza@rwu.edu)
______________________________________________________________________________________

Please click here to confirm that the animals in this event are not being used for research purposes (if so, will need to go through the IACUC protocol review and approval process).

This animal event request is not for research purposes

SECTION 1: EVENT HOST AND EVENT INFORMATION

Contact Information for the Event Host (Classroom Instructor or Person Responsible for Event):

First and Last Name:

E-mail Address:

Phone Number:

As the Event Host, I understand I will need to be present at the event to ensure compliance with the animal welfare requirements

Click here to confirm

Event Name or Class Number: (e.g., Earth Day, SPL Event, BIO103)

Event Location (Building/Room or Outdoor Location):

Please describe the animal "safe space" set-up and location where animals can seek respite during the event as needed:

Event Date:

Event Start and End Times (we do not have the capability to host animals overnight):

Number and types of animals that will be attending (e.g., 2 dogs and 4 cats):

Is the event "closed" (limited to the specific class or group event) or "open" (open to the entire campus community)

Closed event for specific class or group only
Open event open to the campus

Expected number of attendees:

Rationale: Why is it important to have live animals present at your event?

Rationale: This event is primarily:

Educational (provides enrichment for classroom activity)
Social Event
Both educational and a social event

Methods: How will the animals be presented and/or handled during the event? (check all that apply)

The handler-presenter will be the only one handling the animals
Animals will be handled by only by the group attendees
Animals will be handled during an open event (anyone can come by)
The animals will be an in enclosure the entire time and not be handled at all

SECTION 2: ANIMAL PROVIDER AND ANIMAL HEALTH RECORDS INFORMATION

Please complete the following for the animal provider/vendor (e.g., Audubon Society, Mystic Aquarium, Providence Police Department).

Provider Organization Name

Provider Contact Name (First Last)

Provider Contact E-Mail

Provider Contact Phone Number

Provider Website Address

Please upload clear PDF or PNG copies of each of the requested records for the animals coming to campus, and for the vendor-provider.

Each upload slot accepts one file. If you have multiple pages/documents, please scan or combine pages into a single PDF.

Animal vaccinations (veterinary records for each animal)

Parasite Treatments (Veterinary records for each animal)

Provider's USDA License for Animal Exhibitions (if applicable)

Written confirmation from provider that animal is not a juvenile or pregnant:

SECTION 3: EVENT HOST SIGNATURE AND REQUEST SUBMISSION

Please sign here, then click the arrow button below the signature box to electronically submit this form to RWU EHS for review:

Sign Here

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