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Community Outreach - Event Request
Requestor/Presenting Organization Information
Full Name:Required Entry
Organization:Required Entry
Phone Number - Primary:Required Entry
E-mail:Required Entry
Street Address:
City:
Zip Code:
Type of Organization
 Business/Corporation
 Educational
 Faith-based
 Foundation/Granting Organization
 Government
 Other Not-for-Profit/Social Service Agency
Event Date and Location
Date of Event:Required Entry
Inclusive Dates (if more than one day):
Start Time:
End Time:
Event Location Name:
Event Address:
Parking Information
Is free parking available for Red Cross Volunteers?
 Yes
 No
Event Description
Event Title:
What is the major focus of your event?
 Disaster Preparedness
 Health and Safety Awareness
 Volunteer and Youth Opportunities
 Military Services
 Red Cross Fund Raising
If Other, please list:
Description of your event and how the Red Cross can assist you:Required Entry
Table & Chairs
Will a table and chairs be availableRequired Entry
 Yes
 No
Participant/Attendee/Audience Description
Estimated Number of Attendees:
Event is for (check all that apply):
 Public
 Employees/Staff/Students
 Invited Guests/Other
Promoting Red Cross Affiliated Events
The American Red Cross Grand Canyon Chapter may post information about this event on its Website or in internal newsletters, and may request a logo from your organization. Additionally, we may request to partner with you on media releases.

Note: Our volunteer-led organization receives hundreds of requests every year; however, we don’t have the resources to fill every one of them. We will do our best to accommodate as many requests as we can. Your request will be processed and you will receive an e-mail notifying you of our ability to participate within ten business days of the receipt of your request.

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