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.) *
Select your region below *
Event Type *
Project Codes: Refer to the budget or contact your Regional Development Officer.
Page Type *
I would like a General Event Donation link included with my Ticket Page
Peer to Peer Mail in Check Address
Please list the address you wish to be listed for the mail in check option.

Event Location Information

Contact Information

Contact information to list publically for the event.

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
Tickets & Sponsorships
 Ticket TitleTicket HGLAmountTax Deductible AmountBenefits (what does the ticket Include)
Ticket 1
Ticket 2
Ticket 3
Ticket 4
Ticket 5
Ticket 6
Ticket 7
Ticket 8
Ticket 9
Ticket 10
Need Each Attendee Name *
Need Each Attendee Address *
Need Each Attendee Phone Number *
Need Each Attendee E-mail Address *
Need Each Attendee Age *
Need T-shirt Size *
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) *

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)

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

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

Form Completion & Submission