Third-Party Event Application

Thank you for registering your third-party event! Please allow 3-5 days for your application to be processed.

Name of Organization (if applicable)

Contact Person

Contact Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Contact Phone (day)

Contact Phone (evening)

Fax

E-mail

About Your Event

Title of Event

Event Date

Event Time

Rain Date (if applicable)

Rain Date Time (if applicable)

Event Location

Event Address

Address 2

City/Town

State/Province

ZIP/Postal Code

If location is a business, will there be an admission charge

Is this event by invitation only

Is this event open to the public

How will your event be promoted (flyers, radio, etc.)

Please provide a description of your event

Why did you choose St. Louis Children's Hospital as the beneficiary of your event

Funding and Donation Information

Are there beneficiaries other than St. Louis Children's Hospital

If other beneficiaries, then whom:

Estimated Expenses

Estimated Revenue

Estimated Proceeds

Date funds will be sent to St. Louis Children's Hospital

**Proceeds of your event will go where the greatest need exists. If you prefer it to go to a particular area, please specify

If yes, please list names and addresses

Dollars raised previously through this event (please list date and amount)

What are your needs from St. Louis Children's Hospital

We appreciate your time and generosity and wish you great success with your event. If you have questions, please feel free to contact us.

TERMS OF AGREEMENT

I understand that:

*All events to benefit St. Louis Children's Hospital must be approved by St. Louis Children's Hospital Foundation prior to the event or event promotion.
*St. Louis Children's Hospital Foundation must approve all publicity and promotional materials for proposed events that include St. Louis Children's Hospital's name or logo before they are released. Please forward a draft of all materials to St. Louis Children's Hospital Foundation prior to the publicizing of the event.
*When mentioning the name of the hospital in print or on air, it should be referred to as St. Louis Children's Hospital. Please refrain from using abbreviations or shortened names.

By selecting yes, you are agreeing to abide by the terms written above

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Third-Party Event Application

About Your Event

Funding and Donation Information