apply for an Authority to Fundraise - Cerebral Palsy Alliance

cerebralpalsy.org.au

apply for an Authority to Fundraise - Cerebral Palsy Alliance

AUTHORITY TO FUNDRAISE APPLICATION

AND AGREEMENT

Simply fill in and return to Cerebral Palsy Alliance via cfr@cerebralpalsy.org.au or

by fax on 02 9451 6731 with any relevant documentation.

Your Details (fundraiser)

Contact Name:

Name of group/organisation (if applicable):

Mailing Address:

T: Mob:

Fax:

Email:

Website:

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

(CONTINUED)

Quick Questions

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

permits

Does the activity/event involve auctions, competitions or

raffles

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.

Applicant Acknowledgement

• 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.

Signature:

Name:

Date:

Cerebral Palsy Alliance

PO Box 184

BROOKVALE NSW 2100

187 Allambie Road, Allambie Heights, NSW 2100

cerebralpalsy.org.au

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