Community Fundraising Event Registration Form

Personal Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Gender(Required)

Male

Female

Other

Fundraiser Information

Name of Fundraiser(Required)

Host(Required)

Name of the organization/company/individual/venue responsible for this fundraiser.

Description of Fundraiser(Required)

Please give a brief description of your fundraiser, including information such as: how the money is raised, the duration of your campaign or event, if there are beneficaries other than BCRC, etc.

Facebook Event Link, Eventbrite Link, or Webpage Link:

If a link is provided, BCRC will add your event to our events calendar on our website.

Estimated donation to BCRC:

Hidden

Are you fundraising in honor or memory of someone?(Required)

Yes

Hidden

Will your fundraiser take place on a specific date?(Required)

Yes

Are you fundraising in honor or memory of someone (Y or N required)? If YES, please share their information here.(Required)

Is your fundraising event scheduled for a specific date (Y or N required)? If NO, please explain your fundraiser's timeline.(Required)

For example: recurring Mondays and Tuesdays in October; Throughout the month of April; All year-long; etc.

Hidden

Will your fundraiser take place at a specific location?(Required)

Yes

What is the physical address of the location that your fundraising event will take place?(Required)

Will your event be publicized (Print, Radio, Online/Social Media)? Please include ALL social media handles to help our staff recognize your event.(Required)

Please list any sponsors you plan to approach for support.

Uploads

Upload Event Logo (if applicable)

Max. file size: 512 MB.

Upload Event Flyer (if applicable)

Max. file size: 512 MB.

Fundraiser Agreement

I understand that:

1. Event proceeds will be submitted to BCRC within 30 days of the event.

2. All planning and operational responsibilities related to your fundraiser, such as securing date/venue, selling tickets, contracting vendors, promotion and marketing, soliciting sponsors, etc. should be carried out by you or your event’s organizers. BCRC cannot be held responsible for your event's attendance.

3. BCRC cannot underwrite or assume any financial risk with regard to fees, costs, or expenses related to your event.

4. BCRC’s tax-exempt status is non-transferable and cannot be used by another party to solicit donated goods or services. If your organization does not have a 501(c)3 status, please do not promise a charitable-tax receipt.

5. Independent Fundraisers should refer to us as 'Breast Cancer Resource Center' or 'BCRC'. Although BCRC is the beneficiary of your event, we should not be named as the sponsor or host in the event title. For example, please title your event "Tea Party to Benefit BCRC" not "BCRC's Tea Party".

I have reviewed and agree to BCRC's fundraising guidelines.

Your Signature(Required)

Full Name

Thank you!

Please expect to hear from a member of our Development team in 2-7 business days. For immediate concerns or questions, please email Dev@bcrc.org. Thank you for choosing to stay local and supporting the Breast Cancer Resource Center!

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