THIRD PARTY EVENT APPLICATION General InformationName of Group or Company *0 / 40Contact NameStreet Address *City *State/Province *ZIP / Postal Code *Email Address *Phone *WebsiteEvent InformationEvent Name *Date of Proposed Event *Month *Day *Year *Event Start TimeHoursMinutesAMPMIf known, please also provide the event start timeLocation of Event *Event Description *Briefly describe the event/promotion and how the funds will be raised and how Sage Haven Society will benefit from the eventPlease provide a list of sponsors participating in this eventPlease provide a list of potential sponsors. If there are additions to this list further to the filing of this form please connect with Sage Haven Society to provide updated information. This will help us to avoid double requests going out to community partners.Will you require a member(s) of Sage Haven Society to assist or speak at your event (we will do our best to accommodate this request but at times it may not be possible)? *YesNoMaterials requested for the eventSage Haven Society can provide you with ACAWS materials (brochures, etc.) as available – please let us know if we can help in this way.LogosBanner or signageProgram BrochuresOtherMaterials requested for the event - OtherWhat percentage of proceeds will be donated to Sage Haven? *Will this event be raising funds for other organizations as well? *YesNoPlease tell us what other organizations you are raising funds for at this event and how proceeds will be splitSage Haven's RoleTerms and ConditionsTermsPlease read the following and indicate that you have read, understood and agree to these terms and conditions: I agree to forward all proceeds from this event to Sage Haven Society, as listed within this application. I understand that Sage Haven Society must approve all publicity for the event prior to it being released and that Sage Haven Society’s name, logos, and symbols are important and should not be misrepresented. I understand that tax receipts will be issued according to Canada Revenue Agency guidelines and that I must discuss tax receipting details with Sage Haven Society prior to the event or tax receipts will not be issued. I understand that Sage Haven Society assumes no legal or financial liability associated with this event. I understand that Sage Haven Society is not responsible for any accidents or damage to persons or property that may occur during the course of this event. I understand that Sage Haven Society reserves the right to cancel this agreement at any given time should the event undermine our mission, vision and values.I understand and agree to the terms of services *YesSignatureStart signing your signature hereYour browser does not support e-Signature field.Send Message
