AUTHORITY TO FUNDRAISE APPLICATION
Simply fill in and return to Cerebral Palsy Alliance via email@example.com or
by fax on 02 9451 6731 with any relevant documentation.
Your Details (fundraiser)
Name of group/organisation (if applicable):
Fundraising Activity / Event Details
Name of activity/event:
Type of activity/event:
Activity/ Event Overview (Include how funds will be raised eg raffle, entry fee etc):
Proposed Date and Time of activity/event:
Location of activity/event:
Number of expected guests/attendees:
CONTINUED OTHER SIDE >
AUTHORITY TO FUNDRAISE APPLICATION & AGREEMENT
Yes / No
Have you ever organised a fundraising activity for
Cerebral Palsy Alliance before
Does your activity/event require Public Liability insurance
(Note - your activity/event will NOT be covered by Cerebral Palsy Alliance
of NSW insurance Policy)
Does the activity/event require council/government
Does the activity/event involve auctions, competitions or
Will you be seeking sponsorship for the activity/event
If yes, Cerebral Palsy Alliance requires a copy of your sponsorship proposal
and a list of your target sponsors before approaching.
• I have read and agree to Cerebral Palsy Alliance Community Fundraising Rules and Guidelines and
indemnify Cerebral Palsy Alliance of ACT from and against any claims for injuries or damage arising at or
from the activity/event that is subject of this application.
• I agree to conduct my activity/event in accordance to Cerebral Palsy Alliance Rules and Guidelines and
understand that Cerebral Palsy Alliance reserves the right to withdraw approval of this activity/event if I
fail to do so.
• I confirm that all information provided above is correct at time of submission and any changes made to
the information after approval will be forwarded in writing to Cerebral Palsy Alliance of ACT for review
prior to the activity/event taking place.
Cerebral Palsy Alliance
PO Box 184
BROOKVALE NSW 2100
187 Allambie Road, Allambie Heights, NSW 2100