Community Fundraiser Event or Program Proposal

All fields are required.

Event or Program Information:

Official Name of event or program:

Date(s) and Time(s):

Description of event

Location of event

Event Planning Information:

Name of planning organization:

Contact Person:

Contact Address:

City:

Zip Code:

Contact Phone:

Contact Email:

Contact Date of Birth: (Individuals may be subject to further screening. Please provide contact's date of birth)

Do you have a co-organizer helping you with this event? Yes No

Co-organizer Information (if applicable):

Co-organizer's Name:

Co-organizer's Address:

Co-organizer's Phone:

Co-organizer's Email:

Co-organizer's Birth:

Would you like to fundraise online? Yes No

Would you like a representative from Children's to attend your event *? Yes No

* Due to time and staff constraints, we may not be able to send a representative to your event

If yes, list length of time and expectations of staff member:

Financial Information:

Fundraising Goal:

Cost to attend/participate in event:

Please provide the percentage of proceeds or specify a dollar amount that will be donated to Children’s Hospital from this event:

Please list current sponsors:

Please list possible sponsors:

Is there is a specific fund, department, program, etc. you want your donation designated to?:

Event Flyers or Marketing Materials:

Use the following to send us a copy of your event flyer and marketing materials. We only accept JPG, PNG and PDF files:

File 1 (JPG, PNG or PDF only):

File 2 (JPG, PNG or PDF only):

File 3 (JPG, PNG or PDF only):

Please verify you are a human:

Search our Site

Need Help?

Operator

Ask Children's

For Family & Patients

Go to section...

Quicklinks

Find-A-Provider

Find-A-Location

Services

Health Info

About Us

Research

Your Visit

Search our site:

Community Fundraiser Event or Program Proposal

Event or Program Information:

Event Planning Information:

Financial Information:

Event Flyers or Marketing Materials:

Starting Locations:

Legal:

Mobile App:

About Akron Children's