Independent Fundraising Event (IFE) Registration Form

Personal Information


Fundraiser Information

Name of the organization/company/individual responsible for this fundraiser.
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.
Are you fundraising in honor or memory of someone?(Required)
Will your fundraiser take place on a specific date?(Required)
For example: recurring Mondays and Tuesdays in October; Throughout the month of April; All year-long; etc.
Will your fundraiser take place at a specific location?(Required)
What assistance or materials would you like from BCRC?(Required)
Availability may vary. Check all that apply.

BCRC Attendance Policy & Speaker Request

Due to limited staff resources, BCRC staff cannot guarantee staff attendance at every independent fundraising event. However, we offer the presence of a BCRC representative to personally thank your supporters for their participation and support based on the below criteria:

• Revenue greater than $10,000: Executive Director Ray Anne Evans and Board Chair, as needed, will be in attendance.

• Revenue between $2,500 - $9,999: A member of BCRC Development staff and volunteers, as needed, will be in attendance.
• Revenue under $2,499: A volunteer on behalf of BCRC may be in attendance.

Client Speaker Request(Required)
If your fundraiser fits the above criteria, please indicate your speaker request below.


Max. file size: 512 MB.
Max. file size: 512 MB.

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.

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 Thank you for choosing to stay local and supporting the Breast Cancer Resource Center! 

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