In-Park Donations Application

Please complete the form below or download the application.

Items in BOLD are required.

   
 
Organization Name:
   
Primary Contact Name:
Primary Contact Title:
Primary Contact Cell:
   
Secondary Contact Name:
Secondary Contact Title:
Secondary Contact Cell:
   
Mailing Address:
City:
State:
Zip:
   
Physical Address (If Different):
City:
State:
Zip:
   
Organization Phone:
Organization Mobile:
Organization Fax:
Organization Email:
Website:
Additional Contact Info:
Is your group a 501(c)(3)?
Make check payable to:
   
Which days and times does your group desire to collect? (Hold Control or Apple key to select multiple times)
Friday 4pm - 6pm
  6pm - 8pm
   
Saturday 10am - 12 noon
  12 noon - 2pm
  2pm - 4pm
  4pm - 6pm
  6pm - 8pm
   
Sunday 10am - 12 noon
  12 noon - 2pm
  2pm - 4pm
  4pm - 6pm
  6pm - 8pm
   
Parade - Sunday 1pm - 3pm
   
Additional Notes: