Events Inquiry Form
Contact Information
Name
*
First Name
Last Name
Preferred Pronouns
She/Her
He/Him
They/Them
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Organization Name
*
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Event Information
Event Name
Event Date
*
/
Month
/
Day
Year
If the event date is flexible, please let us know in the Comments section further down the form.
Event Start and End Time
AM
PM
AM/PM Option
to
until
AM
PM
AM/PM Option
Onsite, Day-of Contact
Include name and phone number
Where is this event being held?
Virtually
In-person - Indoors
In-person - Outdoors
Event Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Is this event wheelchair accessible?
Yes
No
What is the plan in case of inclement weather?
Please indicate the type of participation you would like from LifeLine (check all that apply)
*
Informational tabling
Animal presence
Educational
Community involvement
Other
Is this event a fundraiser?
Yes - for LifeLine
Yes - for another organization(s)
No
Please list the other organization(s)
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Event Logistics
Are you able to provide one or more of the following:
Tables
Chairs
Access to water
Access to restrooms
Pet relief area
Tent
Other
How will this event be marketed by you or your organization?
*
Social media
Print advertising
Word of mouth
Other
What time should we arrive for set-up?
AM
PM
AM/PM Option
Where is the best location for parking? Please provide details including the parking address, intersection, landmarks, or directions.
Will other animals be present? (We ask that all animals be leashed and/or crated within the vicinity of our animals.)
*
Yes
No
Are we permitted to sell branded merchandise and accept non-taxable donations? *
Yes - both
Yes - merchandise only
Yes - donations only
No
How did you hear about LifeLine?
Please be as specific as possible
Comments
Please verify that you are human
*
Submit
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