Event Submission Form

Fill in as many fields as you can. If a field doesn’t apply to your particular event, put N/A in that field.

Submitting this form digitally will send to the Events Coordinator. The proposal will then be brought to the Board at their next meeting for approval.

Event Name

Event Description (# of anticipated performers, theme if not evident in event title, will there be shot sales, will there be raffle/silent auction, potential sponsors. Please provide as many details as possible)

Event Organizer

Phone

Email

Event Location

Date of Event

Event Time

Event Emcee

Who will be making the marketing?

Is A Budget Needed? Is A Budget Needed? Yes No

Provide Budget Breakdown

Beneficiary Name

Beneficiary Contact

Beneficiary Phone

Beneficiary Email

Beneficiary Address

City

State

Zip Code

Beneficiary Website URL

Has Beneficiary Been Notified of the Event? Has Beneficiary Been Notified of the Event? Yes No

Will There Be a Representative From the Beneficiary Present at the Event? Will There Be a Representative From the Beneficiary Present at the Event? Yes No

11 + 5 =