Fundraising Host Application

Required Fields marked with *

*Event or Activity:

Date of Event*:

*Location:

Will this be a private or public event?
Private EventOpen to the Public

Anticipated Attendance:

Fundraising Goal:

Insurance Coverage:

What will you be serving?
FoodAlcoholNeither

*Name of Contact/Host:

Is the contact/host under the age of 18?
YesNo

*Contact/Host Address:

*Contact/Host Phone:

Contact/Host Fax:

*Contact/Host Email:

Why did you choose Ronald McDonald House Central New York for your fundraiser?

Event will be publicized through:
FlyerWord of MouthDirect MailNewspaperRadioPostersTelevisionOther

List any Media Sponsorships:

List any other sponsors or vendors being solicited for donations or in-kind support:

Terms

In representing my organization, I understand that the staff of the Ronald McDonald House Central New York is not large enough to work outside fundraising events. Their policy also does not enable them to sell tickets or other commercial merchandise. Ronald McDonald House Central New York cannot grant appearances by Ronald McDonald or other McDonald’s characters. I understand that press releases and media invitations are the responsibility of the local organizers and must be reviewed by Ronald McDonald House Central New York.

I understand and accept the terms above and within the Fundraising Approval Guidelines