Pickering Football Club Fundraising Event Authorization Form

Pickering Football Club Fundraising Event Authorization Form
Pickering Football Club Inc.

1975 Clements Road, Pickering, ON, L1W 4C2

Telephone: 905-831-9803 / Fax: 905-239-0067

Web Site: www.pickeringfc.ca
Date of Proposal

Month Day Year
Date
Team Name
Age Group
Gender

Male Female Other
Coach's Name
Name of Individual Responsible

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Number

Area Code Phone Number
Cell Number

Area Code Phone Number
Email
example@example.com
Event Name
Event Date

Month Day Year
Date
Event Location
Briefly Describe the Event
Briefly Describe How Funds Will Be Raised
How Many People do You Expect to Attend
Please Document Carefully the Measures That Will be Taken to Ensure the Safety of the Participants?
Example: a ratio of adult supervisors/chaperones, security measures, cleanliness/anti-contamination techniques for events that involve food handling
Proposed Budget: All costs to come out of event proceeds or to be paid by the organizing team.
Please list all anticipated event expenses, indicating if you expect any to be donated.
Revenue
Sponsorship
Registration Fees
Ticket Sales
Donations
Other
Total Revenue
Expenses
Venue
Food/Beverage
Printing
Security
Advertising
Licensing Fees
Prizes
Other
Total Expenses
Total Profit
Does your event require a gaming licence?

Yes No
Does the planning group understand that the PFC Board, prior to being printed, released, etc., must approve all publicity for the proposed event?

Yes No
Do you need a Representative (based on availability to assist or speak at your event?

Yes No
The Pickering Football Club would be happy to provide a limited number of promotional materials for your event. Materials will be sent to you following the approval of your event. Please note the quantities you require:

Posters Donation Boxes Listing on the PFC website
Are the funds raised designated to a particular team or tournament?

Yes No
If yes, where:
Have you completed the required OSA insurance form?

Yes No
I have verified that the above information is correct

Clear
A copy of this application will be sent to your email as soon as possible.
Should be Empty: