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Host a Community Event Agreement Form

Thank you for your interest in hosting an event to benefit SafePlace.

Please fill out the agreement form below and someone will contact you shortly.
 
First Name  *
Last Name  *
Mailing Address  *
City
State
Zip Code  *
Preferred Email Address  *
Daytime Phone (Please include area code)  *
Fax (Please include area code)
Hosting Group Name (if applicable):
Hosting Group Twitter Handle
Hosting Group Facebook Page
Are you a:  *
Is this event:
 *
Name of Event  *
Date of Event  *
Event begins:  *
Event ends:  *
Event information #:
Event information email:
Event website
Where are you hosting your event? (Please include address)  *
Please describe your event, be as thorough as possible.  *
Will you have a ticket price or entrance fee? If yes, please include price.  *
If you are hosting an in-kind fundraiser, what items do you intend to collect?
How will this event benefit SafePlace?
Will there be any kind of entertainment (games, live music, performances, etc.)? Please be as specific as possible.  *
Please list any other charitable organizations that will also benefit from this event.
Will any businesses be contacted for donations for your event in any way?  *
If yes, please list these prospects for SafePlace to review in order to avoid duplicated efforts with businesses we may have already approached.
Do you wish to use SafePlace's name, logo or program/service information to help promote your event?  *
If yes, what types of promotion do you plan to use? (Please check all that apply)




Would you like a link sent to you containing various SafePlace materials to print?
 *
I have read, understand and agree to the guidelines posted for hosting a fundraiser to benefit SafePlace. Please type name in lieu of signature.  *


 

We are grateful to members of the community who wish to support our work.  SafePlace’s mission and philosophy, which drive the work we do, include creating change in attitudes and behaviors which contribute to or impact the community’s understanding and responses to sexual and domestic violence.  In keeping with this goal, we reserve the right to not partner, be involved or affiliated with events that include activities, language or advertising that demonstrate beliefs and behavior that are not aligned with our mission and vision.

In addition, please note that SafePlace:

  • cannot guarantee a representative will be able to attend your event.
  • will not solicit participation from clients or donors (as stated in our Guidelines) for any hosted community event beyond listing the event information:
           ·  on the SafePlace Calendar of Events page;
           ·  on the SafePlace Facebook page;
           ·  on the SafePlace Events Twitter Feed;      
           ·  in the weekly staff e-newsletter.
  • reserves the right to refuse involvement with or cancel an event at any time for any reason.

Thank you to the following organizations, groups, individuals
and businesses for hosting a community event on behalf of SafePlace.

January 2012 - Present

Josh Abbott Band
Alpha Chi Omega
Arcie Cola
Atown
Brad Love
Capital Area Dart Association
Electric Touch
Generous Art
Girls in Gis
John Walthall
Rebecca Havemeyer & Rain on 4th
The Infinite Family Foundation
Tiny Pies
Trainers Elite Mixed Martial Arts
Ultimate MMA Fitness
Wheatsville Food Co-op

 

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SafePlace is ending sexual and domestic violence through safety, healing, prevention and social change.
512.267.7233 (SAFE) | For Deaf/HH/Deaf-Blind community, please use relay/VRS | P.O. Box 19454 | Austin, TX 78760 | Email | Privacy Policy | © 2012 SafePlace All rights reserved.