The ChadTough Foundation · Third-Party Fundraising Application

Event Organizer information:

Name

*

First Name

Last Name

Phone

*

Email

*

Verify Email

*

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Name of Organization or Business (if applicable):

Is your organization a 501 (c)(3)?

*

Yes

No

What inspired you to further our cause?

EVENT INFORMATION:

Name

*

First Name

Last Name

Name of Event:

*

Event Date:

*

(mm/dd/yyyy)

Anticipated Attendance:

Event will be:

Open to the Public

By Invitation Only

Ticket Price (if applicable):

With ticket price, guests receive:

Food

Tshirt

Other:

Food Value:

Other description:

Event Location:

Location Address:

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Event Start Time:

Event End Time:

Event Description

Are there other beneficiaries of this event?

Yes

No

If yes, name of other organization(s):

% of Money Raised to be donated to The CT Foundation:

100% of $ Raised

100% of Net Proceeds

Other

Note: If less than 100% of the net proceeds will benefit The CTF, please explain:

Describe how funds will be raised:

Do you plan to solicit sponsors? If yes, please list who you plan to approach (once approved):

Will you have the following at your event (check all that apply):

Auction

Raffle

Alcohol

Will your event require a permit? (If yes, please provide copy of insurance coverage at least 2 weeks prior to event)

Yes

No

Will your event require insurance? (If yes, please provide a copy of insurance coverage at least 2 weeks prior to event)

Yes

No

What resources (if any) do you need from The CTF?

How do you plan to publicize your event? (Please remember materials with The CTF name/logo must be pre-approved):

Third Party Fundraising Contract

In signing this application, I am indicating that I have read and agree to abide by all Fundraising Policies, Legal and Financial Information and Policies on the use of The CTF Name and Logo as stated in The ChadTough Fundraising Guidelines. I agree to use The CTF name and logo only in approved ways. I agree to hold harmless The CTF board, officers and staff in the conduct of my fundraising activity. I agree to assume all risks and liability for any claims that arise out of this transaction, event or process. I understand that I am responsible for all expenses associated with this activity. I understand that I am responsible for compliance with all local, state and federal laws regulating fundraising activities and the conduct of my event. I understand that I am responsible for marketing my own event and that The CTF will only market my fundraiser through its social media channels if I can guarantee a minimum of $1,000 donation. I understand that appearances are based on availability and a minimum guaranteed donation. I agree to submit the full donation within 30 days of the event. I further understand that until I have received approval by a ChadTough Foundation official, I do not have permission to use The CTF name and/or logo in the conduct of my fundraising efforts.

Electronic Signature:

*

Date

*

(mm/dd/yyyy)

Acknowledgement:

*

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

Multi-line input

Fundraiser in consideration for The ChadTough Foundation authorizing Fundraiser to use its logo and name in its marketing efforts agrees to assume all risks and indemnifies The CTF from any claims arising from or relating to this Fundraiser's event, product, etc.

Fundraiser agrees to take full responsibility for, and shall RELEASE AND HOLD HARMLESS The ChadTough Foundation their owners, elected officials, agents and employees from any and all liability, claims, demands or causes of action that may hereafter arise to third parties and/or their property for injuries or damages arising out of this Fundraiser, included, but not limited to, losses CAUSED BY THE NEGLIGENCE OF THE RELEASED PARTIES.

Initial Here

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Fundraiser further agree that it WILL NOT SUE OR MAKE CLAIM against The ChadTough Foundation for damages or other losses sustained as a result of any injury or death, sustained from the foundation's participation. Fundraiser also agrees to INDEMNIFY AND HOLD THE CTF HARMLESS from all claims, judgments and costs including attorney's fees, incurred in connection with any action brought as a result of participation in this Fundraiser.

Initial Here:

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Fundraiser expressly recognizes that this Release of Liability, Waiver of Legal Rights, and Assumption of Risk is a contract pursuant to which Fundraiser has released any and all claims against The ChadTough Foundation resulting from any injury, or death, sustained from any third party participants or Fundraiser related to this Fundraising event including any claims for negligence of The ChadTough Foundation.

Initial Here

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Fundraiser represents that its authorized agent is at least 18 years of age, and Fundraiser waives and releases any and all legal rights that may accrue to authorized signer or Fundraiser Director as the result of any injury he/she may suffer while engaging in this Fundraiser.

Initial Here:

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FUNDRAISER HAS READ THIS RELEASE OF LIABILITY, WAIVER OF LEGAL RIGHTS AND ASSUMPTION OF RISK AND FULLY UNDERSTAND ITS CONTENTS AND SIGNS IT OF ITS OWN FREE WILL.

Signature Date: (dd-mm-yyyy)

*

(mm/dd/yyyy)

Signature of FUNDRAISER'S AUTHORIZED AGENT:

*

PRINTED NAME:

*