Special Event Interest Form

Thank you for your consideration in having CHA Animal Shelter as a participant in your fundraising/adoption event!

We receive many requests throughout the year from generous organizations and individuals that want to raise funds to benefit the shelter or host an adoption event with our organization. Due to limited resources, CHA must carefully consider its level of involvement with these initiatives.

When filling out the Special Event Interest Form, please be specific in providing us with information regarding your event and the ways in which you would like us to participate. CHA Animal Shelter will review all requests once the form has been submitted and we will contact you or your organization with confirmation relative to our participation.

Forms must be submitted least 45 days prior to your scheduled event. Times and dates are subject to availability of staff, volunteers, and resources. CHA reserves the right to conduct and participate in events at our own discretion.

Who is sponsoring/hosting the event?
Contact person:
Phone Number:
Email:
example@example.com
Date of event (requests must be submitted at least 45 days in advance)

MonthDayYear
Date
Location:
Event start time:
Event end time:
Please describe your event with as much detail as possible:
Are you requesting that adoptable animals be present at the event?
If yes, will cover be provided (tent, indoors etc) for volunteers and/or animals?
How many people do you expect to attend?
Who is your target audience?
How do you plan to promote the event?
How much do you expect to be donated to CHA Animal Shelter?
What expectations do you have for CHA Animal Shelter staff/volunteers in assisting with your event?
Please list any other organizations benefiting from the event:
Please provide any additional Information:
Please upload the logo or image you would like us to use when promoting this event:

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Please list any social media handles you would like us to use when promoting this event (Facebook, Twitter, Instagram):
Please list the website you would like us to use when promoting this event:

Agreement of Responsibility

I/we understand that Citizens for Humane Action dba CHA Animal Shelter accepts no liability of any kind for any activity or action resulting from the efforts of you or your organization on behalf of CHA. I/we agree to allow CHA to approve all written copy, printed materials and promotional items using the CHA Animal Shelter name or logo, prior to distribution. I/we agree to indemnify and hold CHA Animal Shelter harmless for any claims for damages or injuries there from.
Signature

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Date

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Date
Special Event Basic Guidelines

(Please review and scroll to the end to submit your form)

Event Promotion:

CHA Animal Shelter will not release any mailing lists to external organizations. However, we may be able to list your event on the "Calendar of Events" section on our website.

Insurance and Liability:

CHA Animal Shelter cannot provide liability insurance or coverage for your event. CHA Animal Shelter does not accept liability of any kind for any activity or action resulting from efforts of you or your organization on behalf of CHA.

Solicitation:

CHA Animal Shelter relies on the generosity of local business throughout the year to provide vital support for our work. If your event plan includes soliciting local businesses for either cash or in-kind support, please include a copy of your prospect list with the enclosed materials. Your prospect list will be reviewed by the Community Engagement Manager to ensure your solicitations do not conflict with existing relationships or development plans.

Organization name:

Primary Reference: CHA Animal Shelter

Secondary Reference: Citizens for Humane Action

Logo:

Permission must be received from the Community Engagement Manager to use the CHA logo.

Verifications:

For our records, please provide copies of all publicity materials in advance to:

CHA Animal Shelter

Attn: Community Engagement Manager

3765 Corporate Drive Columbus, OH 43231

Or via email to:

Heidi@CHAAnimalShelter.org

Circumstances in which CHA Animal Shelter will not endorse an event:
- If the project does not support the mission of CHA Animal Shelter.
- If there is no system to ensure accountability for the funds raised.
- If the proposal would potentially conflict with existing philanthropic relationships.
- If the project would conflict with marketing or public relation campaigns.
- If there are no adequate plans for CHA Animal Shelter exposure, recognition, and publicity.
- If the proposal is considered unethical or inappropriate.
I have read the above information and would like to submit my event request form.

Yes
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