Community Champions Intake Form
Thank you for your interest in helping us help kids. We are so grateful to you, the community that generously dedicates time and resources to organize an event that benefits Children's Wisconsin. 

Please complete the information below about your community event and our Foundation Events staff will contact you. Our team is here to support your fundraising efforts, while also maintaining policies, procedures and guidelines that ensure your fundraising event is safe and successful.

We request that all Community Events benefiting Children's Wisconsin be pre-approved by our Foundation.
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First Name *
Last Name *
Phone Number *
E-mail *
Organization/business/foundation name (if applicable)
Have you held a community event with us before?
*
If you have hosted a community event with us before, how many years have you hosted your event?
Description of your event concept *
Event goals (financial or otherwise) *
Anticipated date of event *
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Anticipated time of event
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Time
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Location of event: address, city, state *
My family has received care at Children's Wisconsin.
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I would like to receive Children's Checkup, a monthly e-newsletter from Children's Wisconsin that shares inspiring patient stories, news and information on upcoming events.
*
Would you be interested in an opportunity to meet with other community event partners to share best practices? *
To share awareness and support, are you comfortable with Children's Wisconsin sharing out your event details with other Children's community event partners? *
If you have hosted a community event benefiting Children's Wisconsin in the past, what is your best piece of advice for someone who is planning their first community event?
Children’s Wisconsin Branding & Style Agreement
Consistency helps us maintain a unified brand for Children’s Wisconsin. Please help us protect the Children’s Wisconsin brand by following these guidelines:

  • Children’s Wisconsin may only be identified as a beneficiary. For example, fundraisers should be promoted as “benefiting Children’s Wisconsin.”
  • Children’s Wisconsin reserves the right to request additional information prior to approval of the event and reserves the right to decline event approval at any time if there is a conflict of interest.
  • All event publicity using the Children’s Wisconsin logo (web and print) must comply with our guidelines outlined in our Community Event Guide.
  • If Children’s Wisconsin is not the sole beneficiary of funds raised, organizers should state clearly on event materials the percentage of proceeds being directed to Children’s Wisconsin.

"Benefiting Children's Wisconsin" logo use agreement:
The Children’s Wisconsin name and logo are service marks of our organization and can be used only with our written permission and approval of use by you in connection with your approved event without alteration. Any other use is prohibited.

Our events team will provide you with a Children's Wisconsin benefiting logo to use when promoting your approved event. When identifying our organization on your materials, please choose from the following options:

  • An event benefiting Children’s Wisconsin
  • (Event name), benefiting Children’s Wisconsin

All events and promotional materials benefiting Children's Wisconsin must be pre-approved by Children's Wisconsin Foundation including; but not limited to: press releases, posters, public service announcements, brochures and advertising. 
Please enter your full name and date below to agree to the terms listed above. *
Date submitted *
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