Basket Donation Info Sheet

Thank you for donating a Brain Buddie Basket for our Annual Basket Raffle! This Basket Info Sheet form is required for each raffle basket donation. If you are donating more than one basket please fill out a separate form for EACH basket.

How is this Information Used?

We use the info gathered in this form to create a Basket Sheet which will be attached to the outside your Basket donation and used to identify your Basket during the raffle. It lets others know who donated the basket, what goodies are waiting inside and of course, provides a way for them to read the story behind who the basket represents.

Please note your email and phone number is only for the Gray Matters Team use and will NOT be shared on the printed Basket Sheet that we attach to your basket (or anywhere else).
Email *
Phone Number *
Please provide a number we can reach you in case we have any questions about your basket.
Donated by...
 *
List all of the wonderful people who are donating this basket! This is YOU or your family, friends, coworkers, team, etc.
Who does this Basket Represent?
Name of the person(s) this basket is inspired by. Is this Basket in honor of a survivor or in memory someone who has passed? (Example: "In Honor of Lanette Veres")
What is the Theme of your Basket? *
Give your basket a unique name (Examples: "Kate's Art Basket", "Family Game Night", "For the Love of Dogs", "Garth's Grillmaster Basket" etc) Check out our website if you need some Basket Theme Ideas.
This Basket Contains... *
Please list ALL items included in this basket (one item per line, please).

If your basket is not yet finished, please wait to fill out this form after all items have been collected.
Share your Brain Buddie Story
This is your opportunity to share your story or inspiration behind your Basket. Tell us a little bit about the person you made the basket for and why you chose these items to represent them.

We suggest keeping stories to about ONE page. It may also be easier to type up your story in a text editor or email and then copy/paste into this form. (Then you also have a copy just in case!)

Need help? Check out these resources from our website:

Can we share your Story in our Basket Raffle Event?
We would love to be able to put a face with your story. Please send us a photo of the person your basket represents VIA EMAIL to lanette@graymattersfoundation.org after completing this form.

What is this for?
We want to share our Brain Buddie stories with as many people as possible to help raise awareness about brain cancer! This year we are trying some new things to share more stories with our guests at the Raffle Event and our Brain Buddie community. This might include places such as printed materials, slideshows projected at the event, blog posts on our website, social media posts, etc.

We will still share your Brain Buddie Story on the Basket Sheet as a printout attached to your basket, but if you would like your story to be included in other parts of our Basket Raffle Event, a photo is required.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms