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 *
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Name/Organization *
Your answer
Description of Event/Fundraiser *
Your answer
Event/Fundraiser Name
Your answer
Date of Event/Fundraiser *
Your answer
Event Start Time
Your answer
Event End Time
Your answer
Location of Event/Fundraiser *
Your answer
Fundraising Goal (Dollar Amount) *
Your answer
Materials needed?
Your answer
KCCI Representative Request
If other, please specify
Your answer
Submit
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