Third Party Fundraiser Registration Form
Name of Event Organizer
First Name
Last Name
Event Organizer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event Organizer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Event Organizer Email Address
example@example.com
I Am Organizing This Event For:
Myself
Work/Office
Church Group
Neighborhood
School
Other* (if selected, please specify in the next section below)
Other:
Type of Event:
Party
Golf Outing
Bake or Craft Sale
Online Facebook Fundraiser
Garage Sale
Other* (if selected, please specify in the next section below)
Other:
Date of Event:
-
Month
-
Day
Year
Date
Event Start Time:
Hour Minutes
AM
PM
AM/PM Option
Event Event End Time:
Hour Minutes
AM
PM
AM/PM Option
Event Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Fundraising Goal:
Would You Like a Member of KCSC Staff to Attend Your Event?
Yes
No
Would You Like a Member of KCSC Staff to Speak at Your Event?
Yes
No
Please Provide a Brief Description of Your Event:
Thank you for your interest in supporting KC Shepherd's Center. Someone from our Development Team will follow up with you in a few days.
Submit
Should be Empty: