Special Event Application Questions about your special event? Please contact the Foundation representatives below. Individuals, Community Groups, School and Students: Ally Cripe Corporations and Businesses: Niki Shafer On Our Sleeves: Morgen Spon Required Event Information Part 1: Contact InformationFirst Name Last Name Are you an Individual Community Group Corporation Corporate Foundation Kinder Key Member Pleasure Guild Member TWIG Member Other Company or Organization Name (if applicable) Name as you would like to be recognized (Do you want the event name, organization name, individual name, etc.?) Street Address City State Phone Number Fax Number Email Address Part 2: Event/Promotion InformationWebsite Name of Proposed Event or Promotion Proposed Date(s) Event Description Are there any other beneficiaries of this event or promotion? Yes No If yes, name of other organization(s) Location of Proposed Event or Promotion Projected Attendance Briefly explain how funds will be raised (ticket sales, pledges, sponsorships, auction, etc.) Does the event require a license or permit? Yes No What is your plan for publicity and promotion? Press Releases Promotional Flyers Public Service Announcements Internet Presence Other Please list the anticipated recipients of the above publicity and promotion plan List businesses, other than your own, that you plan to solicit for donations (cash, service or items) Part 3: Financial InformationRemember to limit expenses to no more than 50% of gross proceeds. All donations must be made within 30 days of completion of the even or promotion.Anticipated Total Revenue Anticipated Total Expenses (Please estimate the individual expenses for the items below) Food/Beverage Printing Security Advertising/PR License/Permit Fee Prizes Supplies Other Anticipated Total Donation Does your company plan to match the amount you raise? Yes No How will you transmit your donation to Nationwide Children's Hospital? Cash Check Other I have read understand agree to abide If you click "Submit" and do not receive the confirmation screen, please scroll to the top of the form to see which fields need updated. Your form has been successfully submitted when you receive the confirmation screen. Thank you!