Party Animal Birthday Package - Arizona Humane Society
Party Animal Birthday Package - Arizona Humane Society
Party Animal Birthday Package - Arizona Humane Society
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BE AN ARIZONA HUMANE<br />
SOCIETY<br />
PARTY ANIMAL!<br />
<strong>Birthday</strong> <strong>Party</strong> Hosting Information<br />
Here’s the SCOOP!<br />
Children of all ages are invited and encouraged to share their <strong>Birthday</strong> Celebration with the homeless animals<br />
awaiting adoption at the <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong>!<br />
The festivities begin with a fun opportunity to “name” a shelter animal which also gives us the opportunity to discuss<br />
the importance of humane names and language. A personal tour of the facility and an age-specific, <strong>Humane</strong><br />
Education activity follow, each designed to communicate, in a fun and memorable way, the importance of kindness<br />
and compassion toward animals. Later, after a special visitor or activity, the <strong>Birthday</strong> <strong>Party</strong> <strong>Animal</strong> and guests<br />
celebrate their special day with friends and family.<br />
We’ll also include a very important craft activity so that <strong>Party</strong> Celebrants can rest assured that they played a big part<br />
in helping our animals to find a forever home --- and --- how they are an integral part of changing the future for<br />
homeless animals in our community.<br />
Because our homeless animals may find the excitement a bit too stimulating, private visits from shelter animals are<br />
not a part of <strong>Birthday</strong> Celebrations other than those we meet on the tour. However, we spend a good deal of time<br />
out in the shelter so there are always surprises in store! Of course, you are invited and encouraged to visit our<br />
adoptable animals after the <strong>Party</strong> has concluded, or during your private party time as a family.
Why We’re The Purr-fect Place!<br />
Parties are held at our beautiful Nina Mason Pulliam Campus for Compassion, in a private room with<br />
spectacular views of South Mountain. Because we are committed to creating a memorable experience for our<br />
<strong>Party</strong> <strong>Animal</strong>s, you will find the room beautifully decorated with and AHS color-coordinated theme and a<br />
personalized birthday message! When the <strong>Party</strong> has ended, we’ll take care of the clean-up! You are free to<br />
leave with the knowledge that you have provided your child, or family member, with an absolutely<br />
unforgettable <strong>Birthday</strong> memory and supported the animals at the <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong> at the same time!<br />
Service Learning<br />
Our <strong>Humane</strong> Education department is dedicated to providing service learning opportunities for children in all<br />
of the activities we offer at the Shelter. Children have a keen understanding of the importance of family and<br />
great compassion for those who are less fortunate. Their natural affinity toward animals, and the empathy it<br />
prompts, is the key that unlocks that compassion and creates action via being of service toward animals. What<br />
better partner to a <strong>Birthday</strong> Celebration!<br />
<strong>Birthday</strong> Celebrations for children give us a great opportunity to show kids the power of one person to create<br />
significant change for animals. We encourage all in attendance to bring either a can of pet food or treats ---<br />
or a gently used towel or blanket, for our homeless animals. In fact, some of our <strong>Birthday</strong> <strong>Party</strong> <strong>Animal</strong>s insist<br />
that their guests bring gifts for our animals instead of for them! <strong>Party</strong> <strong>Animal</strong>s who bring “gifts” for our<br />
animals may be eligible for recognition as an <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong> <strong>Humane</strong> Hero!<br />
We feel that the future for animals in the state of <strong>Arizona</strong>, lies squarely in the hands of our children and we are<br />
committed to sharing that very important message with them in a light, fun and memorable way, that<br />
integrates beautifully with their <strong>Birthday</strong> Celebration.<br />
We respectfully request that you please take a moment to closely review the following pages that detail our<br />
<strong>Birthday</strong> <strong>Party</strong> specifics. If you have any questions, comments, or suggestions, please feel free to contact our<br />
<strong>Humane</strong> Education Department via email: humaneed@azhumane.org or by phone at 602-997-7586 ext. 1015.<br />
Office hours may vary, so email communication ensures the most expeditious response.<br />
A Special Gift<br />
Because we are so grateful to you for choosing the <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong> at which to hold your <strong>Birthday</strong><br />
Celebration, we have a very special gift for each of our AHS <strong>Party</strong> <strong>Animal</strong>s. Each person for whom a <strong>Party</strong> is<br />
booked is gifted with the extraordinary and unforgettable opportunity to actually name one of our shelter‘s<br />
homeless animals who is seeking adoption into a loving family! The <strong>Birthday</strong> Celebrant can then follow his or<br />
her named animal’s progress online until he/she finds a forever home! What better way to celebrate a<br />
<strong>Birthday</strong>!
How Do I Schedule a <strong>Party</strong><br />
Generally, Parties are held on weekends, but we will do our very best to meet your scheduling needs, whatever<br />
the day! We are at your service and will take whatever time you need to answer all of your questions. PLEASE<br />
NOTE: We receive many requests for <strong>Birthday</strong> Parties and the calendar fills quickly. In the event that your first<br />
choice of date/time is not available, please have a few additional dates and/or times in mind when you email us<br />
so that we can be sure to fulfill your request promptly. All <strong>Birthday</strong> <strong>Party</strong> requests are guaranteed with a nonrefundable,<br />
$50.00 deposit; cash, check or credit card.<br />
PARTY ANIMAL BIRTHDAY PARTY PACKAGE<br />
<br />
A three (3) hour rental of the private <strong>Party</strong> room for up to 15 <strong>Party</strong> <strong>Animal</strong> guests, including the <strong>Birthday</strong><br />
Celebrant, and 5 supervising adults --- (Total of 20)<br />
<br />
<br />
<br />
<br />
<br />
Tables and Chairs; set up and break down<br />
Color coordinated tablecloths, plates, utensils, napkins and cups<br />
Three (3) balloons (based on helium availability)<br />
Colorful Paw Print wall and table decorations<br />
A private tour of the <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong> Nina Mason Pulliam Campus for Compassion shelter<br />
and our barn<br />
<br />
<br />
<br />
<br />
<br />
<br />
AHS materials for attendees<br />
One (1) age appropriate <strong>Humane</strong> Education activity<br />
One (1) craft designed to increase adoptions!<br />
Naming of one (1) incoming shelter animal by the <strong>Birthday</strong> <strong>Party</strong> <strong>Animal</strong>!<br />
An interactive visit with animals from local rescue groups and/or therapy teams!<br />
<strong>Humane</strong> Heroes Recognition of the <strong>Birthday</strong> Celebrant and/or guests, if applicable (See Service Learning<br />
section for qualification)<br />
<br />
<br />
Personalized, Private Event signage<br />
Special gift for the <strong>Birthday</strong> <strong>Party</strong> <strong>Animal</strong><br />
For Parties involving children up to sixteen (16) years old, we require a 1:3 adult to child ratio* A minimum of one (1) AHS<br />
staff member or volunteer is dedicated to each <strong>Party</strong>; therefore we ask that the <strong>Birthday</strong> <strong>Animal</strong>’s parent/guardian and other<br />
parents/guardians be present during all times of the <strong>Party</strong>.<br />
Parents/guardians are responsible for all cake, food, snacks, beverages and all other item(s) not specifically listed in the <strong>Party</strong><br />
<strong>Package</strong>, including treat bags. NO POPCORN PLEASE. Additionally, they are responsible for transportation of attendees<br />
to/from the shelter and to/from the restrooms while on the premises. At all times, Parents/guardians are solely responsible for<br />
the supervision of those in attendance. If children become unruly or excessively loud so as to disrupt normal shelter business,<br />
we will politely ask parents to step in. While rare in occurrence, we may end our shelter tour at any time if we feel that either<br />
the animals or children are at risk. A non-refundable down payment of $50.00 is due at the time of booking. Rooms are not<br />
confirmed until the deposit is received.<br />
*Up to 20 party animals are included in the package; a maximum of 15 children up to age 16 with a mandatory 5 adults for a 1:3<br />
ratio of adults to children. An additional 5 adult <strong>Party</strong> <strong>Animal</strong>s may be added, up to a maximum of 25 total guests, for an<br />
additional $10.00 per person. Maximum total guests for any party is 25. Parties with fewer guests than noted are not prorated.
PARTY ANIMAL BIRTHDAY PARTY AGENDA<br />
For purposes of this example, we will use a 2:00pm to 5:00pm <strong>Party</strong> window. Due to the<br />
events of the day, times may not be exact.<br />
Your guests arrive and are greeted to a <strong>Humane</strong> Education Presentation as they<br />
2:00 pm – 2:30 pm<br />
begin work on a special craft to help our shelter animals find forever homes! And<br />
our party animals --- and his/her friends --- will help to name one of our shelter<br />
animals!<br />
2:30 pm – 3:00 pm A personal, behind-the-scenes shelter tour is conducted by one of our volunteers!<br />
3:00 pm – 3:30 pm A special animal visitor arrives for an interactive visit! (schedule permitting) Or,<br />
we engage in a special activity!<br />
3:30 pm – 5:00 pm Family <strong>Party</strong> Time! The second 90 minutes of your time with us is where YOU<br />
take over and the private Family Celebration begins! You can bring games, food<br />
cake and goodies --- you can have a pizza delivered to our shelter, if you wish!<br />
Somewhere toward the end of your time with us, you may wish to head back out<br />
into the shelter, at a time of your choice, and hang your special Shelter Buddies<br />
crafts, which are SURE to result in a swift adoption for some of our furry friends!<br />
When you’re done, leave everything behind and we’ll take care of the clean up!<br />
PARTY ANIMAL BIRTHDAY PARTY PRICING<br />
We are committed to the creation of a memorable event for your <strong>Birthday</strong> Celebration. Following is an<br />
outline of the pricing structure:<br />
<strong>Party</strong> Fee for All Ages $200.00<br />
This fee covers a three (3) hour room rental for up to 20 <strong>Party</strong> <strong>Animal</strong>s (15 children up to age 16 and 5 mandatory<br />
adults) and all aforementioned items and activities. Please see PARTY ANIMAL BIRTHDAY PARTY PACKAGE and<br />
PARTY ANIMAL BIRTHDAY PARTY AGENDA for more specific information. Additional <strong>Party</strong> <strong>Animal</strong>s may be<br />
added; 5 additional <strong>Party</strong> <strong>Animal</strong> (up to a maximum of 25) may be added for an additional $10.00 per person.<br />
PARTY ANIMAL FOOD AND BEVERAGE INFORMATION<br />
Food and Beverage Information<br />
Because we wish to be sensitive to food choices and allergies, we do not provide any food, cake, ice cream, candy or<br />
treats of any kind; this includes treat bags or favors. Parents/Celebrants are responsible for the purchase, transport,<br />
set up and storage of all food and beverage items desired for use in their Celebration. NO POPCORN PLEASE
THE FINE PRINT<br />
A $50.00, non-refundable, deposit is required to hold any date/time and must be paid at the time of booking<br />
unless other arrangements are made. Remaining balance is due the day of the <strong>Party</strong> or prior, if desired. Cash or<br />
checks are preferred. Payments may also be made via PayPal. Because your remittance is in return for services<br />
provided, it is not considered to be tax deductable. PLEASE SEND ALL PARTY CORRESPONDENCE OR<br />
PAYMENTS TO THE ATTENTION OF HUMANE EDUCATION, AT THE ADDRESS ON THE CONTRACT.<br />
All <strong>Birthday</strong> Parties are held at our beautiful Nina Mason Pulliam Campus for Compassion, nestled in the<br />
foothills of South Mountain. We ask that, if possible, your <strong>Party</strong> reservation be made at least 30 days in<br />
advance. Parties are based on room availability, which cannot be guaranteed until booked, so we encourage<br />
you to book early!<br />
Transportation to/from the Shelter by members of the <strong>Party</strong> group is the sole responsibility of the <strong>Party</strong> group.<br />
The <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong> cannot provide childcare for unsupervised children arriving before --- or<br />
unsupervised children awaiting pick-up after --- the Celebration.<br />
We’d love to help make your celebration special! Interested Please email your date and time request(s) to:<br />
humaneed@azhumane.org . Or better yet, complete the form on the last page of this packet, save the page,<br />
and email it to humaneed@azhumane.org . We’ll give you a call to discuss your <strong>Party</strong> upon receipt!<br />
Additionally, we do require the completion of a Liability Form included in this packet, for each person in your<br />
party --- and ask you to consider the optional Model Release Form, which affords us the opportunity to use<br />
any photos from your event in our materials (website, magazine, etc.) --- without identifying names, of<br />
course.<br />
Finally, we do ask that you kindly review the discussion sheet at the end of the packet. While most children are<br />
inherently respectful of animals, others may find the Shelter environment exciting and not realize how their<br />
expressive behavior may affect the animals they so love.<br />
To repeat, we do respectfully request that each <strong>Party</strong> <strong>Animal</strong> --- adult or child --- completes a Liability Form<br />
and that the parent of each child receives the discussion sheet. Completed Liability Forms must be brought to<br />
the Shelter no later than the day of the party. Model Release Forms are optional.<br />
Questions We are at your service! Should you have a special request regarding your <strong>Party</strong>, please let us know.<br />
We will certainly make every effort to fulfill your wishes! We realize that you have a multitude of choices with<br />
regard to where to celebrate this important family milestone and we thank you for choosing the <strong>Arizona</strong><br />
<strong>Humane</strong> <strong>Society</strong> as the locale for your Celebration!<br />
The <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong> does not receive any state or local funding and depends on the generosity of<br />
donations from our community. We are very pleased to let you know that 86 cents of every dollar we receive,<br />
goes directly to programs that support our animals. Please know that we --- and our homeless animals --- are<br />
very grateful that you chose us and we thank you so very much for your support!
“RENT”<br />
“FACILITY”<br />
“EVENT”<br />
“RENTED BY”<br />
“AHS”<br />
ARIZONA HUMANE SOCIETY<br />
BIRTHDAY PARTY<br />
FACILITY RENTAL AGREEMENT<br />
SHADED AREAS TO BE COMPLETED BY BIRTHDAY PARTY ANIMAL<br />
Name: <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong>, an <strong>Arizona</strong> Nonprofit Corporation<br />
Address: 1521 W Dobbins Road, Phoenix, AZ 85041<br />
Contact Person: Kris Haley Title: <strong>Humane</strong> Education Manager<br />
Telephone: 602-738-3030 (cell) FAX: (602) 268-2750 Email: humaneed@azhumane.org<br />
Name:<br />
Address:<br />
Contact Person:<br />
Title:<br />
Telephone: FAX: Email:<br />
Name of Event: <strong>Birthday</strong> <strong>Party</strong> for:<br />
Nature of Event: <strong>Birthday</strong> Celebration<br />
Day/Date of Event:<br />
Anticipated Total No. Attending:<br />
Beginning/End Times of Event:<br />
Number of Adults/Number of Children:<br />
Move-in Period Begins At: 15 minutes prior Move-out Completed By: 30 minutes post<br />
Portion(s) of AHS’s Facility at 1521 W Dobbins Rd Being Rented to User (Check All That Apply)<br />
All Areas Except (Please Specify):<br />
Robert “Coke” Straus Youth Families Learning Center:<br />
<br />
× South Mountain Classroom:<br />
Mountain View Patio:<br />
Charges:<br />
<strong>Party</strong> Amount When Due<br />
<strong>Animal</strong>s<br />
Facility Rental Charge for up to 15 child/5 adult attendees Up to 20 $150 At time of event or prior<br />
Additional party animals (up to a max of 25) @ $ 10.00 per person<br />
At time of event or prior<br />
Total Amount Payable (subject to adjustment for actual usage)<br />
At time of event or prior<br />
Deposit $50. $50 At time of booking or prior<br />
Balance (remaining balance due 30 days prior to event unless otherwise noted)<br />
At time of event or prior<br />
Rental Agreement: Subject to the terms of this Agreement, including the attached Terms and Conditions which are a part of this Agreement, AHS<br />
agrees to rent to User, and User agrees to rent from AHS, for the Charges stated above and payable in advance, the portion(s) of the Facility<br />
designated above, solely for the stated Event and times. THIS AGREEMENT IS NOT BINDING ON AHS UNTIL AHS’s DESIGNATED REPRESENTATIVE<br />
HAS RECEIVED THE DEPOSIT AND AGREEMENT SIGNED BY USER, AND ACCEPTED AND SIGNED THE AGREEMENT ON BEHALF OF AHS.<br />
Rent: AHS MAY CANCEL THIS AGREEMENT IF USER FAILS TO PAY THE BALANCE OF THE TOTAL AMOUNT PAYABLE WHEN DUE. The Total Amount<br />
Payable shown above is estimated. User agrees to pay any additional charges based on actual usage. All <strong>Birthday</strong> Parties must be<br />
scheduled to start no earlier than 10:00 am or later than 2:00 pm, unless otherwise agreed upon. Any additional time needed for<br />
move-in/move-out, beyond what is noted herein, must be scheduled and may be charged on an hourly basis at $100 per hour.<br />
<strong>Birthday</strong> party fees will not be prorated for parties ending prior to the three (3) hour mark or for numbers of attendees fewer than<br />
the maximum number noted.<br />
_______<br />
Initial<br />
Cancellation: In the event that this Agreement is cancelled within seven (7) days of the event, the User forfeits the initial deposit and may be<br />
required to make payment in full.<br />
AGREED TO FOR USER BY:<br />
____________________________________________<br />
(Signature)<br />
____________________________________________<br />
(Printed Name and Title)<br />
AGREED TO FOR ARIZONA HUMANE SOCIETY BY:<br />
____________________________________________<br />
(Signature)<br />
Kris Haley, Manager of <strong>Humane</strong> Education<br />
____________________________________________<br />
(Printed Name and Title)<br />
Date: ____________________________, 2012 Date: ______________________________, 2012
GENERAL TERMS AND CONDITIONS FOR ARIZONA HUMANE SOCIETY BIRTHDAY PARTIES<br />
PARTY ANIMAL <strong>Birthday</strong> <strong>Party</strong> hosting includes:<br />
A three (3) hour rental of the private <strong>Party</strong> room for up to 15 <strong>Party</strong> <strong>Animal</strong> guests, including the <strong>Birthday</strong> Celebrant,<br />
and 5 supervising adults --- (Total of 20)<br />
Tables and Chairs; set up and break down<br />
Color coordinated tablecloths, plates, utensils, napkins and cups<br />
Three (3) balloons (based on helium availability)<br />
Colorful Paw Print wall and table decorations<br />
A private tour of the <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong> Nina Mason Pulliam Campus for Compassion shelter and<br />
our barn<br />
AHS materials for attendees<br />
One (1) age appropriate <strong>Humane</strong> Education activity<br />
One (1) craft designed to increase adoptions!<br />
Naming of one (1) incoming shelter animal by the <strong>Birthday</strong> <strong>Party</strong> <strong>Animal</strong>!<br />
An interactive visit with animals from local rescue groups and/or therapy teams!<br />
<strong>Humane</strong> Heroes Recognition of the <strong>Birthday</strong> Celebrant and/or guests, if applicable (See Service Learning section for<br />
qualification)<br />
Personalized, Private Event signage<br />
Special gift for the <strong>Birthday</strong> <strong>Party</strong> <strong>Animal</strong><br />
For Parties involving children up to sixteen (16) years old, we require a 1:3 adult to child ratio* (the five (5) supervising adults are<br />
included in the maximum 20 guest total.) A minimum of one (1) AHS staff member or volunteer is dedicated to each <strong>Party</strong>; therefore<br />
we ask that the <strong>Birthday</strong> <strong>Animal</strong>’s parent/guardian and other parents/guardians be present during all times of the <strong>Party</strong>.<br />
Parents/guardians are responsible for all cake, food, snacks, beverages and all other item(s) not included in the Basic <strong>Package</strong>.<br />
Additionally, they are responsible for transportation of attendees to/from the shelter and to/from the restrooms while on the<br />
premises. At all times, Parents/guardians are solely responsible for the supervision of those in attendance. A non-refundable down<br />
payment of $50.00 is due at the time of booking. *Each additional adult <strong>Party</strong> <strong>Animal</strong> (up to a maximum of twenty-five (25) may be<br />
added for an additional $10.00 per person.<br />
Basic Services - <strong>Party</strong> Fee for All Ages is $200.00. This fee covers a three (3) hour room rental for up to fifteen (15) party animals and<br />
five (5) supervising adults. Inclusive in the three (3) hours are: a shelter tour, an age-specific <strong>Humane</strong> Education activity/discussion, an<br />
age-specific craft designed to promote adoption of our shelter animals, color-coordinated tablecloth, cups, plates, napkins and<br />
utensils, multi-colored paw-print wall and table decorations, AHS-themed party favors and the naming of an incoming shelter animal<br />
by the <strong>Birthday</strong> Celebrant as well as all additional items listed in the aforementioned PARTY ANIMAL BIRTHDAY PARTY PACKAGE.<br />
Food and Beverages - Because we wish to be sensitive to food choices and allergies, we do not provide any food, cake, ice cream,<br />
candy or treats or ANY food of any kind. Parents/Celebrants are responsible for the purchase, transport, set up and storage of all food<br />
and beverage items desired for use in their Celebration. NO POPCORN PLEASE.<br />
Decorations - Color coordinated table cloths, plates, utensils, napkins, cups, balloons and multi-colored paw-print wall and table<br />
decorations are provided in the package. A personalized wall greeting for the <strong>Birthday</strong> <strong>Party</strong> <strong>Animal</strong> is also included as is private<br />
signage denoting the festivities!<br />
The Fine Print - A $50.00, non-refundable deposit is required to hold any date/time and must be paid at the time of booking<br />
unless other arrangements are made; remaining balance is due the day of the party. Cash or Checks are accepted. All <strong>Birthday</strong> Parties<br />
are held at our beautiful Nina Mason Pulliam Campus for Compassion at South Mountain. We ask that your party reservation be made<br />
at least 30 days in advance and suggest at least three date choices as slots fill quickly. Parties are based on room availability, which<br />
cannot be guaranteed until booked, so we encourage you to book early! All guests must be transported to/from the Shelter by<br />
members of the <strong>Party</strong> group. The <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong> cannot provide childcare for unsupervised children arriving before --- or<br />
unsupervised children awaiting pick-up after --- the Celebration. On Tours, we discuss the importance of not placing hands through<br />
the kennel bars to pet the shelter animals. We also ask our <strong>Party</strong> <strong>Animal</strong>s to take a Character Pledge while they are with us at the<br />
Shelter. Supervising adults are responsible for the supervision of all children at all times, especially while in the shelter and kennel<br />
environs specifically. We invite Delta certified Therapy <strong>Animal</strong> Teams and external rescue groups to our birthday parties so that<br />
children can interact with animals safely and memorably without over-stimulating the homeless animals in our care.<br />
Thanks So Much! - We know you have many choices when it comes to deciding where to celebrate life’s most important events. We<br />
are delighted that you chose the <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong>. We --- and the homeless animals your choice will benefit --- thank you for<br />
choosing us! Questions Please email us at humaneed@azhumane.org --- we are at your service!
Liability Waiver<br />
Please complete and return entire application to:<br />
<strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong><br />
Attn: <strong>Humane</strong> Education<br />
1521 W. Dobbins Road<br />
Phoenix, AZ 85041<br />
I, ________________________________, being the parent or guardian of, ________________<br />
__________________________________, hereby give my consent to allow my son/daughter/other to interact<br />
with shelter animals under the supervision of the <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong>. On behalf of myself, my<br />
son/daughter/other, my heirs, my personal representatives or administrators, I hereby release, discharge,<br />
indemnify and hold harmless the <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong>, its agents and employees from and against any and<br />
all claims, causes of action, demands, judgments or fees incurred by the <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong>, which could<br />
be in any way associated with his/her services for AHS, including, but not limited to, animal bites, accidents or<br />
injuries.<br />
Additionally, I hereby certify that my son/daughter/other is fully covered under my personal/group medical<br />
insurance policy with ______________________________________.<br />
My/our signature(s) below indicates that I/we have read and understand the information contained herein.<br />
Parent/Guardian Signature(s)____________________________________________________Date:___________<br />
Revised 7/24/2009<br />
AHS <strong>Humane</strong> Education
.<br />
MODEL RELEASE<br />
Date:<br />
Company/Organization:<br />
Name:<br />
Social Security Number:<br />
Address:<br />
<strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong><br />
N/A XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX<br />
Telephone:<br />
Payment:<br />
$0<br />
MEDIA USAGE (check all that apply)<br />
National Regional Print Video<br />
Television Internet Billboard Collateral<br />
Period of Usage: Until 31 Dec 2050<br />
In consideration of the sum stated hereon, I hereby sell, assign, and grant to the <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong> the right and permission to<br />
copyright and/or use and/or publish photographic portraits, pictures, and/or video images of me or my minor child in which I or my<br />
minor child may be included in whole or in part or composite or reproduction thereof in color or otherwise made through any media<br />
at the <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong>’s location(s) or elsewhere for art, promotion, advertising, trade, or any similar lawful purpose<br />
whatsoever for the period stated above.<br />
I hereby waive my right to inspect and/or approve the finished product or copy that may be used in connection therewith. I<br />
understand that I will not receive compensation, either monetary or otherwise, in exchange.<br />
I hereby release and discharge the <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong>, its successors, and persons acting under its permission or authority or<br />
those for whom it is acting from any liability by virtue of blurring, alteration, optical illusion, or use in composite form that may occur<br />
or be produced in the taking of such picture or in processing tending toward completion of the finished product.<br />
These photographs/video images may be used only by The <strong>Arizona</strong> <strong>Humane</strong> <strong>Society</strong> for marketing and communication purposes (and<br />
as noted above).<br />
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Model’s Signature<br />
_______________________________<br />
Date<br />
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Signature of parent or guardian (if model is a minor)<br />
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Date<br />
Rev. 9/03
Compassionate Conversation Discussion Tips --- Shelter <strong>Animal</strong> Interaction<br />
The following tips are designed to help you plan a positive and poignant discussion with your child about customary<br />
behavior around animals, particularly homeless Shelter animals. We’ll start with a few general points:<br />
Choose a quiet, uninterrupted time when you have the full attention of your child without the competition of TV, video<br />
games, radios and texting. Mealtimes and bedtime are good choices.<br />
Use soft, supportive tones and a welcoming demeanor so that your child remains attentive and engaged.<br />
Pause frequently throughout the discussion to ask questions that qualify the effectiveness of your words, i.e., “Does that<br />
make sense” --- “What do you think about that” --- “Any questions on that” Non-threatening questions are great ways<br />
to assess if your words are connecting.<br />
Paraphrase your child’s responses. If your child responds to something you say, repeat his/her<br />
words/concepts back in a slightly different form to show you were listening. For example, if your child says,<br />
“I think that people should always adopt from a shelter instead of buying a pet from a pet store,”<br />
you might respond with, “I agree with you --- It is very responsible of you to think of the welfare of<br />
shelter animals who need homes by suggesting that people adopt rather than “buy” a<br />
companion animal.”<br />
With regard to discussion specifics, there are a few key points you may wish to consider:<br />
The most important concept you can communicate to your child regarding animal interaction, is empathy. And the<br />
easiest way to do that is to use the following words, “How would you feel if …” Empathy is when we understand how<br />
another person or animal feels. Once a child feels empathy, he or she can then move into compassion, which typically<br />
inspires action. So, to inspire empathy, consider watching an animal-themed program or movie with your child, such as<br />
our program, <strong>Animal</strong> Cops Phoenix, on <strong>Animal</strong> Planet. When you see an animal in a difficult situation, gently ask your<br />
child, “Gosh, can you imagine how he/she feels! How would you feel if that were you” You are asking your<br />
child to place him/herself into the experience of the animal --- a very effective empathy-building tool. You<br />
are also using gender for the animal, another humane, and very important, bridge builder!<br />
Bringing this full circle into our Shelter environment, in your pre-visit discussion you might say, “How<br />
do you think the shelter animals might feel if a group of noisy kids stuck their hands into their<br />
kennels How would you feel if someone stuck his/her hand into your bedroom window unexpectedly ---<br />
it’s the same isn’t it” And your empathy bridge is officially under construction!<br />
And just a quick reminder to always use gender terms for animals. <strong>Animal</strong>s are not an “it” --- they each have a gender<br />
along with individual personalities and backgrounds. Consider the feelings elicited by each of these very similar<br />
sentences. “I found an injured dog and took it to the shelter” vs. “I found an injured dog and took her to the shelter.<br />
Using gender in our discussions about animals is a very subtle way of building the bridge of empathy that creates<br />
compassionate kids --- and repetition is key in creating consistent change!<br />
Remind your child of the specifics of the event he/she will be attending. Specifically, no hands inserted<br />
through kennel or cage bars, no screaming around the animals, no running in the shelter, and no banging<br />
on the kitty casita glass. Use the bridge of empathy to make your points, i.e., “How would you feel if<br />
…someone just showed up and banged on your bedroom window” Gently remind them that Shelter<br />
animals are homeless and are waiting for the right family to adopt them, so it is important that they<br />
know they are safe and loved during their hopefully brief Shelter stay.<br />
And finally --- let your child know how very proud you are of him/her for their interest in learning<br />
more about how to help animals. The long term value of praising and acknowledging their great<br />
choices --- particularly about animals --- can never be minimized. And helping animals is always a<br />
GREAT choice!<br />
Thanks for Taking the Time to Create Compassionate Conversation!