3rd Party Fundraising Application

Name of Applicant

First Name Last Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Name of Company/ Organization (if applicable)

Type of fundraiser

Details of fundraiser (how funds will be raised)

Financial Information

Fundraising goal

Projected expenses

Will expenses be paid out of event proceeds?

Yes No

Event Details

Is this the first year for this event?

Yes No

Will this be an annual event?

Yes No Don't know

Does your event or promotion require a license?

Yes No Don't know

Fundraising start date:

Date

Fundraising end date:

Date

Does your event require volunteers?

Yes No

If yes, how many?

Use of BGCCB logo required?

Yes No

What will you require from BGCCB? (Please note: We will do our best to support you,but ask for your understanding that our resources are limited and we may not be able to meet all of your needs.)

Does your event include sponsors?

Yes No

Please include names of all sponsors:

Third Party Fundraising Agreement

Please review and sign a copy of this form and return it with the Third Party Fundraising Application. This form is due three weeks prior to the proposed event.

Completion of this form does not guarantee approval.

Upon approval, you will receive an approved signed copy of the application for your records. By signing this document, I/we agree to complete a brief after event survey the BGCCB deems necessary to evaluate the event.

I/we agree to distribute funds raised to the BGCCB through cash, cheque, money order, or e-transfer.

I/we further attest that all information provided on this form is correct and accurately describes the proposed event.

I/we agree to indemnify and save harmless The BGCCB for any expenses, losses, claims or damages resulting from the fundraising event or the noncompliance with any terms or provisions of The BGCCB Policies and Procedures for 3rd Party Fundraisers.

Applicant Signature

Clear

Staff Signature (Internal Use Only)

Thank you for your interest in fundraising on behalf of Boys and Girls Clubs of Cape Breton.

If you completed a hard copy of this document, please return to:

Patti McDonald, Director of Development & Communication
Patti@bgccb.ca

or

Suzanne Gray, BGCCB Board Member & Fundraising Committee Chair
SGray@bgccb.ca