Event Interest Form

Event Interest Form
Event Name
Event Description
Event Date and Time
MonthDayYear
Date
Hour MinutesAM/PM Option
Event Location
Event Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Do you prefer hosting or sponsoring the event?
Type of Event
Other
What methods will be used to raise funds or conduct this drive/event?
How will the event be advertised or make public?
Total Income (Projected) $
Total Expenses (Projected) $
Total Net Revenue (Projected) $
Company Name who is planning the event
Contact Person
First NameLast Name
Contact Person Phone
Please enter a valid phone number.Format: (000) 000-0000.
Contact Person Email
example@example.com
Company Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Acknowledgment
I/We understand that approval is needed in order to conduct an event.

I/We understand that we need our members or attendees to fill out a consent or waiver form for any photographs or videos that will be used for the event. If the individual refuses to do so, he/she will be advised on what to do in order for his/her photos to be captured.

I/We understand that information gathered from this event will not be sold and will only be used for program evaluation and communication within the organization.
Authorized Person Name
First NameLast Name
Authorized Person Signature
Clear
Date Signed
MonthDayYear
Date
Should be Empty:

Acknowledgment