Survey - Community Partner Event Application - Children's Hospital Colorado Foundation

Thank you for your interest in fundraising for Children's Hospital Colorado Foundation. The purpose of this form is to gather as much information as possible about your proposed fundraising idea. If you have any questions, don't hesitate to contact us. Call our main number at 720-777-1700, and ask for the Special Events department.

Submit this form at least 60 days before your fundraising event begins. The Special Events Committee will review and evaluate your request and you will receive a reply within five business days.

Until your event is approved, use of the Children's Hospital Colorado name, logo, or any of its licensed marks is strictly prohibited. Please read our Special Events Guidelines and our Logo and Brand Standards.

Please fill out your contact information


*	Title:
*	First Name: Required
*	Last Name: Required
*	Email: Required
*	Street 1: Required
	Street 2:
*	City: Required
*	State / Province: Required
*	ZIP / Postal Code: Required
	Country:
*	Phone Number: Required
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Question - Not Required - Company/Organization:

*

Question - Required - Are you a 501c3 organization?:

Question - Not Required - If yes, what is your 501c3 number? :

*

Question - Required - Event name:

(Maximum response 255 chars, approx. 5 rows of text)

*

Question - Required - Please describe your proposed fundraising event:

*

Question - Required - Is this event open to the public?:

Private/invitation only

Open to the public

*

Question - Required - Is Children's Hospital Colorado the sole beneficiary for this event? :

Question - Not Required - If not, please explain:

(Maximum response 255 chars, approx. 5 rows of text)

*

Question - Required - Event Start Date:

*

Question - Required - Event End Date:

*

Question - Required - Event Start Time:

*

Question - Required - Event End Time:

*

Question - Required - Event Venue:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Event Address (name, street address, city, state, zip):

(Maximum response 255 chars, approx. 5 rows of text)

*

Question - Required - Event Website (enter "none" or "n/a" if not applicable):

*

Question - Required - Event Fundraising Goal:

(Maximum response 255 chars, approx. 5 rows of text)

*

Question - Required - Where would you like the funds raised to be designated? (Note: Only one designation can be selected per event):

Question - Not Required - If "other," please explain the fund designation:

*

Question - Required - Major source of income? Check all that apply:
Please make at least 1 selection from the choices below.

	Admission/ticket sales
	Auctions (Note: Sales tax must be collected on all tangible auction items - gift certificates do not apply)
	Monetary/cash donation collection
	Sale (baked goods, crafts, etc.) (Note: Sales tax must be collected)
	Promotions/percentage of sales to benefit Children's Hospital Colorado
	Sponsorships (Note: Sponsor levels and benefits must be reviewed and approved)
	Raffle/Door Prize (see note below about raffles)
	Other (explain below)

Question - Not Required - If "other," please explain other funding sources:

*

Question - Required - If you selected admission/ticket sales as a major source of income above, please tell us your ticket price, and the fair market value of any goods or services received by attendees. If you will not have ticket sales, note "n/a":

(Maximum response 255 chars, approx. 5 rows of text)

IMPORTANT NOTE REGARDING RAFFLES: Children's Hospital Colorado DOES NOT hold a raffle license. Any event benefiting Children's Hospital Colorado must obtain their own raffle license. Your Children's Hospital Colorado Foundation event manager will be able to discuss other fundraising alternatives that can be held legally under Colorado State Law.

*

Question - Required - Intention to hold a raffle:

By checking here, I certify that I agree not to hold a raffle.

By checking here, I certify that my organization has received a current raffle license and will follow all raffle laws according to Colorado State Law. I will provide my license information below.

Question - Not Required - Please submit the name of the organization holding the raffle license, the license number, and the raffle manager name:

*

Question - Required - Will you have event sponsors? If not, please enter "No" below, but if so, please note the company/organization name(s):

*

Question - Required - How do you plan to use the benefiting Children's Hospital Colorado logo? (Note: All logo usage must be sent over to event manager for approval prior to promoting the event.):

(Maximum response 255 chars, approx. 5 rows of text)

*

Question - Required - Check below any requests from Children's Hospital Colorado Foundation (select all that apply):
Please make at least 1 selection from the choices below.

	Welcome Kit (mailed out upon event approval include balloons, banner, donation box)
	Online donation form
	Online registration/ticket form
	Event listing on Foundation website
	Other (explain below)

Question - Not Required - If "other," please explain your request:

(Maximum response 255 chars, approx. 5 rows of text)

*

Question - Required - Will you obtain any/all necessary permits and licenses for your event?:

Question - Not Required - Please note any additional information:

*

Question - Required - Please fill out the CAPTCHA code to submit this form.

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AGREEMENT:

Children's Hospital Colorado Foundation welcomes fundraising proposals for review, but choosing to submit a proposal does not obligate the Children's Colorado Foundation to enter into a fundraising program with you. Additionally, you should agree to give all funds raised to Children's Hospital Colorado Foundation no later than 30 days after your program has ended.

By submitting a fundraising proposal you agree to assume all risks and liabilities associated with the proposal and hereby release and hold harmless Children's Hospital Colorado Foundation entities, their directors, officers, employees, agents, and successors from and against any and all claims, damages, liabilities, costs, and expenses, including reasonable attorney's fees arising out of or in connection with the event, including without limitation any personal injuries or damages to property that may occur in conjunction with your proposal.

Although Children's Colorado Foundation actively encourages third-party fundraising events and promotions, we must approve all events in advance. The Foundation and/or hospital maintain the right to decline events. This is an important safeguard in preserving the integrity of the name and reputation of Children's Hospital Colorado, Children's Hospital Colorado Foundation, and Children's Miracle Network Hospitals, as well as our commitment to our donors.

If Children's Colorado Foundation agrees to enter into a fundraising program with you, all written, electronic or printed fundraising program materials containing Children's Hospital Colorado and Children's Miracle Network Hospitals logos or trademarks, before and after your fundraising begins, must comply with graphic standards and must be submitted to us for approval before printing or circulation.

By submitting this Event Application, you certify that you have reviewed and agree to the Children's Hospital Colorado Foundation Special Events Guidelines and the Children's Hospital Colorado Foundation Special Events Logo and Brand Standards.

Please click "Submit" below to agree to these terms.