Event Application Step 1 of 4 25% Please tell us about yourself Organization* What category describes you best?*Select CategoryCorporationSchoolCommunityService ClubIndividualFirst Name* Last Name* Address Town/City ProvinceSelect ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPostal Code Primary Phone*Secondary PhoneEmail* Website Do you have a connection to Children's Health Foundation of Vancouver Island?* Please tell us about your fundraising activity Event Title* Type of Event* One-time Annual Ongoing Proposed Event Location* Event Description*Start Date* MM slash DD slash YYYY Start Time End Date MM slash DD slash YYYY End Time Target Market* Family/Friends Members Customers General Public Will you be using an ad agency to promote your fundraiser?* Yes No How will you publicize your fundraiser?* Posters/Flyers Newspaper Ads Website PSAs/Radio Ads Internal Promotion Other Do you intend to use the CHFVI's name and/or logo in your advertising?* Yes No Children’s Health Foundation’s logo and name cannot be used without permission. Items using them must be approved by Children’s Health Foundation before production and distribution.* I agree Please tell us what support you would like from Children's Health Foundation Print Materials* Yes No Guest Speaker* Yes No Tour of facilities* Yes No Any additional assistance? Please specify. Please give us some financial information Will other charitable organizations benefit from this fundraiser?* Yes No Will you require tax receipts for individuals donating to Children's Health Foundation through your event?* Yes No It is very helpful to think ahead about your event’s revenues and expenses. We understand things are not finalized and changes always happen, but please fill out the following budget to the best of your ability. Expected Revenues Cash Sponsorship Ticket sales Auction Misc sales/Other (please specify) Total expected revenues Expected Expenses Venue (rental/fee) Printing costs Catering Equipment Rentals Other (please specify) Total expected expenses Expected net revenue* Expected date monies will be received by Children’s Health Foundation* MM slash DD slash YYYY (Organizer) is applying to organize a Third Party Fundraising Event (event) to benefit the Children's Health Foundation (CHF.) The CHF does not take an active role in planning or organizing this Event. Only fundraisers consistent with the vision and mission of the CHF will be approved. The CHF will not approve events that: a. Employ a professional fundraiser, telemarketing firm and/or have any agreement to raise funds on a commission, bonus, or percentage basis (except for cause-marketing with corporate partners) b. Promote a political party, candidate, or appearing to endorse a political activity c. Solicit funds door-to-door, through telemarketing, or through internet methods. The Organizer agrees to submit all copy for advertisements and other event-related promotional materials to the CHF and to obtain the CHF’s written permission before their production and distribution. The CHF expressly reserves the right to final approval on anything that uses the CHF’s name and/or logo. To use the CHF’s name and/or logo, at least 50% of the Event’s proceeds must be donated to the CHF. In all materials, the specifics of the donation must be clearly stated, either by the percentage (eg. 50% of the ticket price) or specific dollar amounts (eg. $5 from each ticket sold.) As people may support your event because they believe they are supporting the CHF, we will also ask for a guaranteed amount to be donated to the CHF before we will give final approval on your event. Depending on what you are proposing, this amount may vary. The Organizer agrees to handle all monetary transactions for the event and will present the proceeds to the CHF within 60 days along with detailed accounting. The Organizer acknowledges the CHF adheres to the receipting policies of the Canada Customs and Revenue Agency. Please note that not all funds raised qualify for a tax receipt. The Organizer agrees to underwrite all costs of the event and/or to secure such underwriting. The CHF is not responsible for any financial losses. The Organizer agrees to receive advance written approval from CHF before requesting any donations/sponsorships (cash or in-kind) from any organization or individual. The CHF accepts no legal responsibility for the event and cannot be held liable for any risk or injury, or other damages in conjunction with the event. The Organizer must obtain all necessary permits, licenses, and insurance relating to the event and will provide CHF with copies of the above at least 2 weeks before the event start date. The Organizer will arrange staff/volunteers to organize and run the fundraiser. This is an opportunity for you and your group to raise funds in support of children and youth facing health challenges on Vancouver Island and the Gulf Islands. The Organizer agrees to use its own mailing list and/or contacts. The CHF will not actively sell tickets to the event and/or purchase tickets for attendance by CHF representatives. The Organizer is asked to give the CHF two complimentary tickets for use by the CHF staff and/or board. Approval of the Organizer’s application is only valid for the event detailed in the proposal. Events held in subsequent years and/or are of a different format must also be submitted for approval. I have read and agree with these guidelines* Yes
