Host a Fundraiser

Name of Proposed Event
Date of Event*
Name of Venue
if applicable
Event Address
Street Address Address Line 2 City Province Postal Code
Event Start Time*
: HH
MM
Event End Time
: HH
MM
How will you collect funds?*
Choose all that apply
Please describe the event:*
Insurance Requirements*
- Yes, insurance is required
- No, insurance is not required
Please note that General Liability Insurance may be required for your event. Please seek the advice of a Certified Insurance Broker within your province to obtain an insurance quote.
IF so, what is the cost of insurance?
Estimated Income from all sources:*
Estimated Expenses*
Estimated Donation*

Company/Organization
If event is being hosted by a company or organization, please provide full name.
Your Name*
First Last
Your Address
Street Address Address Line 2 City Province Postal Code
Your Phone #*
Your Email

I agree to submit all funds raised to Badge of Life Canada within 60 days of the event?*
- Yes
Badge of Life Canada must approve all marketing and printed materials, news releases, social media campaigns, websites, and publicity events for the proposed event prior to being released, printed, etc?*
- Yes
I agree to seek the advice of a certified insurance broker to determine if an insurance policy is required for this event.*
- Yes
Date Submitted*
Singnature*
First Last