HDSA EVENT FORM

Please complete this form and submit to begin event process.

[Incomplete form/responses will delay event posting process]
Events will be listed on the HDSA National Calendar within 9-12 business days.

Event Collateral will be emailed 3-5 business days after events have been listed on website.

All information provided in this form will be displayed on Donorview. If a volunteer does not want their phone number or e-mail displayed publicly then please use your local regional information as the contact information.

What Form Do You Need? (Check all that apply.) *

Event Form

Insurance Form

Event Kit Form

Select your region below *

MidWest Region

Northeast Region

PacificWest Region

South Region

Chapter/Affiliate/Region Name *

Midwest Region/Chapter/Affiliate Location Code: *

Northeast Region/Chapter/Affiliate Location Code *

PacificWest Region/Chapter/Affiliate Location Code: *

South Region/Chapter/Affiliate Location Code: *

Event Type *

Event Name:
To create consistency with event names please follow this format: Year Event Type - City,State *

Does your event have a alternative name and/or theme?
Ie: Super Heroes, Family Harvest, Wine & Shine, Memorial Walk, etc.

I would like to request a specific shortlink url name
(*MarCom to determine if shortlink name can be used or not with their link naming process*)

Project Codes: Refer to the budget or contact your Regional Development Officer.

Education Day Project Code *

Team Hope Walk Project Code *

Celebration of Hope Project Code *

Bowl-a-thon Project Code *

Hoop-a-thon Project Code *

Golf Project Code *

Donation/Appeal Project Code *

Other Project Code *

Page Type *

Participant (Peer to Peer fundrasing with or without a registration fee)

Ticket Page (tickets only, no peer to peer fundrasing)

Donation Page Only

I would like a General Event Donation link included with my Ticket Page

Yes, please include

Peer to Peer Mail in Check Address

Please list the address you wish to be listed for the mail in check option.

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Event Date * +

Event Check-in Time *

Event Start Time *

Event End Time *

Ticket Sales Closing Date * +

Ticket Sales Closing Time *

Fundraising Goal (Please refer to your Budget) *

Quote for Press Releases

Event Location Information

Venue Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Important Venue Details. [ie; parking, ADA accessibility, entrance fees, etc.]

Contact Information

Contact information to list publically for the event.

Contact Title (ie: Volunteer Coordinator, Event Chair, etc.) *

Contact First Name *

Contact Last Name *

Contact Phone Number *

Contact E-mail *

Ticketing/Registration/Sponsorship Information

Please include the ALL of following information:

-Ticket/Registration/Sponsorship Level "Titles"

-Ticket/Regitration/Sponsorship HGL Code [please see below for codes]

-Amount per Ticket/Registraion/Sponsorship Level

-Value of the Ticket/Registration/Sponsorship

-Tax deductible amount for the Ticket/Registration/Sponsorship

-If applicable, in the Benefits Column please enter the number of tickets sponsors will receive as well as any additional benefits you may be offering

How to Calculate Tax Deductible Amount:

Your gala tickets are priced at $120 each, the expense of the dinner is $55 per ticket, the tax deductible amount is $65 per ticket.

Ticket HGL Codes: [Please select from the following]

Individual Tickets- 40020

Corporate Sponsorship- 41020

PLEASE NOTE: TICKETS WITH OUT TAX DEDUCTION AMOUNTS WILL NOT BE POSTED UNTIL AN AMOUNT IS PROVIDED.

Tickets & Sponsorships

	Ticket Title	Ticket HGL	Amount	Tax Deductible Amount	Benefits (what does the ticket Include)
Ticket 1	Ticket Title	Ticket HGL	Amount	Tax Deductible Amount	Benefits (what does the ticket Include)
Ticket 2	Ticket Title	Ticket HGL	Amount	Tax Deductible Amount	Benefits (what does the ticket Include)
Ticket 3	Ticket Title	Ticket HGL	Amount	Tax Deductible Amount	Benefits (what does the ticket Include)
Ticket 4	Ticket Title	Ticket HGL	Amount	Tax Deductible Amount	Benefits (what does the ticket Include)
Ticket 5	Ticket Title	Ticket HGL	Amount	Tax Deductible Amount	Benefits (what does the ticket Include)
Ticket 6	Ticket Title	Ticket HGL	Amount	Tax Deductible Amount	Benefits (what does the ticket Include)
Ticket 7	Ticket Title	Ticket HGL	Amount	Tax Deductible Amount	Benefits (what does the ticket Include)
Ticket 8	Ticket Title	Ticket HGL	Amount	Tax Deductible Amount	Benefits (what does the ticket Include)
Ticket 9	Ticket Title	Ticket HGL	Amount	Tax Deductible Amount	Benefits (what does the ticket Include)
Ticket 10	Ticket Title	Ticket HGL	Amount	Tax Deductible Amount	Benefits (what does the ticket Include)

Need Each Attendee Name *

Yes

No

Need Each Attendee Address *

Yes

No

Need Each Attendee Phone Number *

Yes

No

Need Each Attendee E-mail Address *

Yes

No

Need Each Attendee Age *

Yes

No

Need T-shirt Size *

Yes

No

Select T-shirt Sizes you will have available (Please Note that T-shirts for the Team Hope Walk program are available in Youth M, Youth L, Adult Small, Adult Medium, Adult Large, Adult X-Large, Adult XX-Large, Additional Sizes are available upon request) *

Additional Information you require from your attendees?

Add Registrants to the following e-mail list: (please use the e-mail list name exactly as it appears on Donorview E-mail lists)

Any additional event information that you would like to be posted

Event Collateral

Request Event Collateral: Check all that apply.
(1 Event Webpage Banner will automatically be included)

Will you need a QR Code for printed materials?
(example: Event Flyers + Postcards)

Yes

No

Does your event have a specific theme?

If you already have marketing materials created, please upload here.

Event Insurance

Please upload your completed Insurance Form below.

You may also upload any additional documentation for insurance at this time.

If you do not have an insurance form, you can download it HERE

Upload Insurance Request Form Here
(additional documentation optional) *

Event Kit Request

Please allow 2 Weeks shipping time. Orders will only be shipped using a ground service.

Please plan accordingly.

When do you want your Event Kit to be sent out? *

3 weeks out from event date

Right Away

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

What state is this event happening in? *

Expected event attendance *

Material you're Requesting: Select all that apply (item are while supplies last) *

Do you have any questions or special requests? *

Form Completion & Submission

This form is submitted by *

E-Mail Address *