Fundraising Event Request Form
Application Instructions:

Complete and return one form per Event/Fundraiser no later than 30 days prior to the Event/Fundraiser date.

Email address *
Phone Number *
Your answer
Name/Organization *
Your answer
Date of Event/Fundraiser *
MM
/
DD
/
YYYY
Date submitting this form *
MM
/
DD
/
YYYY
Event/Fundraiser Name *
Your answer
Event Start Time *
Time
:
Event End Time *
Time
:
Clean Up End Time *
Time
:
Location of Event/Fundraiser *
Your answer
Description of Event/Fundraiser *
Your answer
Fundraising Goal (Dollar Amount) *
Your answer
Ticket Prices / Sponsor Levels / Free *
Your answer
Has this event occurred before? *
If event has occurred before, please provide details.
Your answer
Is there a partner organization? *
Your answer
If there is a partner organization, provide website and contact information.
Your answer
Materials needed? *
Your answer
Budget? (Dollar Amount) *
Your answer
KCCI Representative Request
If other, please specify
Your answer
Submit
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