Wellspring - Wellspring Westerkirk House at Sunnybrook

Contact Information * Required Field

Contact Name:*

Organization:

Email Address:*

Telephone Number:

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Mailing Address:

Event Information

Event Name:

Event Date:

Location:

Start Time:

End Time:

Type of Event (e.g. fashion show, golf tournament):

What is the primary goal or purpose of your event? (e.g. to raise funds, awareness):

What inspired your event:

Anticipated Funds Raised:

Which Wellspring centre would you like the funds raised to go to:

Will any other individuals or organizations receive proceeds? If yes, please list them and the portion they will receive:

Number of Participants:

Will this be an annual event:

List all event sponsors:

List any additional event stakeholders:

Affiliation with Wellspring

Are you a (Check one):

Member
Volunteer
Both
Other

How did you hear about Wellspring:

Why do you support Wellspring:

Event Promotion

Who is the target audience:

How will the event be promoted:

Event Budget

Please note that we realize these figures are estimates. Please use your best guess; we will not hold you to these numbers. All expenses must be paid from the revenue generated from your event.

Proposed Income:

Anticipated Expenses

Venue Rental:

Food & Beverage:

Printing (tickets, posters, etc.):

Advertising:

Prizes:

Other:

Net Revenue (Proposed Income - Anticipated Expenses)

Net Revenue to Wellspring:

Budget Comments

Budget Comments:

Event Support

Wellspring is not generally able to provide staffing resources for third-party events. If you require support from Wellspring please check any of the following that may apply.

Volunteers
Office/Administrative support
Wellspring representative to speak or assist at event

Other (please specify):

Register an Event