Contact Information

First Name*

Last Name*

Company (if applicable)

Phone*

Email*

Street Address*

Apt, Suite, Bldg. (optional)

Postal Code*

City*

Country*

Province*

Todays Date*

Event Information

Event Name*

Date of Event*

Event Start Time (Hour:Minute am/pm)*

Event End Time (Hour:Minute am/pm)*

Event Address*

Apt, Suite, Bldg. (optional)

Event Postal Code*

Event City*

Event Country*

Event Province*

Brief Description of Event*

What inspired you to do this event?*

Expected number of attendees*

Fundraising goal*

Are there any other charities receiving funds from this event?* YesNo

If so, please indicate other charities here

Are there any sponsorship requirements? * YesNo

If so, please indicate who you have secured for sponsorship or who you plan to approach

How are you planning to promote the event?*

How will funds be raised? i.e. ticket sales, live or silent auctions, donations, sponsorship, etc.*

Who is your target audience? Examples: friends/family, students, business connections, women/men, age, etc. *

Will this be an annual event* YesNoUnsure at this time

Has this event taken place before?* YesNo

Will your event require tax receipts?* YesNoUnsure at this time

Will your event require a gaming license? (Please note 50/50 ticket sales and raffles require a BC gaming license.)*YesNoUnsure at this time

Do you expect to involve media?* YesNoUnsure at this time

Please note any promotional and event day support you will be requesting from CMHA Kelowna. Examples: event listing on website, social media, volunteers, etc.)*