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Community Event Participation / Sponsorship Request Form

Use the following form to request Akron Children's Hospital participate in or sponsor a community event. Requests must be submitted at least 6 weeks prior to your event. Due to time restraints we are unable to consider events less than 6 weeks away. View our sponsorship guidelines.

If your event is outside of the 6 week window and you are requesting:

Bold items are required.

Akron Children’s Hospital may request a detailed COVID safety plan before approving your in-person event.

Event Name

Contact First Name

Contact Last Name

Contact Phone

Contact Email

Requesting Organization

Street

City

State

Zip Code

County

Briefly describe your organization

Is the event address same as the organization address?

Event Location

Event Street

Event City

Event State

Event Zip

Event County

Did Akron Children's participate in your event previously?
Yes   No  

Event Dates

Note: Please ensure your event is at least 6 weeks away. Your event will not be considered if less than 6 weeks away.

Day 1 :
From:
To:
Day 2:
From:
To:
Day 3:
From:
To:

Approximate number of attendees

Please describe your event

Are you requesting participation?
Yes   No  

Are you requesting sponsorship?
Yes   No  

Outreach Request? Complete the following:

Target Audience

Event Type
Indoor   Outdoor  

Participating Vendors (comma separated):

Topics you want covered

Are you requesting the Doggie Brigade attend your event?
Yes   No  

What would you like the Doggie Brigade team(s) to do at the event?

If this is an outdoor event, will there be shade for the dogs?
Yes   No  

Will any other animals (pets, working, performance) be in attendance?
Yes   No  

If yes, please explain:

Are you requesting a Mobile Intensive Care Unit (MICU) to attend the event?
Yes   No  

Contact person day of event:

Contact person's phone:

Sponsorship Request? Complete the following:

How will sponsorship funds be used for this event?

Why should Akron Children's Hospital support this event?

Please provide details of all sponsorship levels including dollar amounts and what each level of sponsorship includes:

Event Agenda/Schedule

If available, please attach a copy of the invitation (PDF ONLY)

Attach any other documentation (PDF ONLY):



If you have any questions about your submission, please contact outreachrequests@akronchildrens.org.

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About Akron Children's

While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. It brings the entire family together for emotional support and understanding across multiple locations to reach you in the community where you live. Learn more...

Akron Children's Hospital
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330-543-1000 • webmaster@akronchildrens.org
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