Third-Party Fundraising Event Form

Event Name*

Group Name/Organization*

Website

CONTACT INFORMATION

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Preferred mode of communication:*

phone
email

EVENT INFORMATION

Date*

Start time of event*

:

End time of event*

:

Location of the Event - Name*

Location of the Event - Address*

Street Address Address Line 2 City State ZIP Code

Description of the Event:*

Please note if this is a first time event, and if not, how long has this event been in existence.

How can Safe Harbor support your event?

Check all that apply. Please note that we may not be able to provide the requested support for event forms received less than 60 days before your event.

Provide education material
Acknowledge and provide tax receipts for contributions made payable and submitted to Safe Harbor
Provide a speaker (Please note that an overview of services presentation requires a 15 minute time window)
Provide a Safe Harbor table at your event

Time of Presentation/Speaker

Will a table and chairs be provided for our use?

Yes
No

Event is...*

Open to the Public
Invitation Only

How many people do you anticipate attending your event?*

Who is the audience? (youth, college, adult, professionals, faith-based, community, etc.)**

How will the event be marketed by your group?*

Check all that apply!

Facebook
Instagram
LinkedIn
TV
Radio
Website
Newspaper
Other

If selected above, please include any relevant social media handles or additional details on how the event will be marketed.

Safe Harbor does not generate original content for third-party fundraisers. You must create and post your own content.
Tag us in your posts and stories so we can share and amplify when appropriate.
Provide your social media handles to us in advance so we know where to look for your posts.
- Instagram: @SafeHarborRVA
- Facebook: @SafeHarborRVA
- LinkedIn: @Safe–Harbor–RVA
- Safe Harbor website: www.safeharborshelter.com
Click here for Safe Harbor's Social Media Third Party Collaboration Guide

Budget and Finance

Will proceeds be shared with only Safe Harbor?*

Yes
No

If no, please list other benefiting organization:

Please detail out anticipated revenue and expenses for this event:*

Proceeds may be donated either online through our donation portal , or by check mailed to:

Safe Harbor
P.O. Box 17996
Richmond, VA 23226

Agreement

I have read and understand Safe Harbor's Third-Party Fundraising Event Procedures, and I realize that by filling out this form that it does not guarantee acceptance of my event.*

Check here to indicate your agreement to the statement above

For any additional questions, please contact Katherine Moore at Katherine@safeharborshelter.com or 804-249-9470 ex. 123