Independent Fundraising Event (IFE) Registration Form

Personal Information

First Name

Last Name

Emaila valid email

Phone Number

mobilehomework

Gender

MaleFemale

Fundraiser Information

Name of Fundraiser

HostName of the organization/company/individual responsible for this fundraiser

Description of Fundraiserplease 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.

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Event Website OR Link to more event details

Estimated donation to BCRC

Are you fundraising in honor or memory of someone?

YesNo

Type of Tribute

In Honor OfIn Memory Of

Person's Name

Will your fundraiser take place on a specific date?

YesNo

Start Date

End Date

Start TimeStart Time

End TimeEnd Time

Will your fundraiser take place at a specific location?

YesNo

Fundraiser Location / Name of Venue

Street Address

City, State, Zip

How and when will your event be publicized (Print, Radio, Online/Social Media)

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Please list any sponsors or committed sponsors you plan to approach for support.

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What assistance or materials would you like from BCRC?Availability may vary. Check all that apply.

Logo FilesCollateral for TablingBannerEvent PromotionNone

BCRC Attendance Policy & Speaker Request

Due to limited staff resources, BCRC staff can unfortunately not guarantee attendance at every independent fundraising event. However, we are glad to offer the presence of a BCRC representative to personally thank your supporters for their participation and support. This representative would be a client of BCRC who has been trained to speak on our behalf and volunteers specifically for opportunities like this!

If your fundraiser includes an opportunity for a BCRC Client Speaker to speak in front of a captive audience during a dedicated time in your event, please indicate your interest below!

Client Speaker Request

No, this is not necessary for my fundraiserYes, I would like to arrange for a BCRC Client Speaker at my fundraiser

Uploads

File

Upload event logo (if applicable)

File

Upload event flyer (if applicable)

Fundraiser Agreement

I understand that:

1.) All events to benefit BCRC must be approved by BCRC staff prior to the event and/or any corresponding promotion of the event.

2.) When using the BCRC logo on promotional materials - print or digital - your design must be approved by BCRC staff before printing or distributing.

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

4.) 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.

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

6.) 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.

7.) 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 Signatureyour 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 contact Development Manager, Kate Guhin, at kguhin@bcrc.org. Thank you for choosing to stay local and supporting the Breast Cancer Resource Center! We look forward to getting in touch!