PBTF Fundraising Application

Thank you very much for your desire to raise funds to help children with pediatric brain tumors.

Our goal is to make it as easy as possible for you. As a family-oriented organization, the PBTF strives to have events at where families are comfortable in participating. We appreciate your efforts on behalf of the children and the Pediatric Brain Tumor Foundation. If you are planning a Ride For Kids®-related fundraiser, please fill out the Ride for Kids® Fundraising Application form. For all other types of events, continue reading and fill out the form below.

The event program and all promotional materials and announcements must state: "All proceeds benefit the Pediatric Brain Tumor Foundation."
The PBTF must approve in advance all written and recorded materials that use the name of the Pediatric Brain Tumor Foundation.
Evidence of event liability insurance for motorized events in the amount of $1 million (minimum) is required. (Insurance may be required for some non-motorized events.) Event insurance must list the Pediatric Brain Tumor Foundation as an additional insured and proof of insurance must be supplied.
There can be no alcohol-related sponsorships for motorcycle events. Other events requesting alcohol sponsors will be addressed on an individual basis.
Events must be of a family-oriented nature.
Games of chance (raffles, casino nights, bingo, etc.) are often covered by state laws that regulate these events. All state laws must be adhered to in the conduct of any of these types of events.
Events that provide the participant with something of value, exceeding a total of $75, must provide the participant with written information stating the value of the items or things received by the participant.
All checks made out to the Pediatric Brain Tumor Foundation ("PBTF") must be sent to the Foundation headquarters for processing. Checks made out to the Pediatric Brain Tumor Foundation may only be deposited in an account established by the PBTF.
All net proceeds should be sent to the PBTF within 30 days of the event.

Fundraising Application

First name*
Last name*
Telephone Number*
Email*
Street Address*
Additional Address
City*
State*
Int'l State or Province
Country
Zip or Postal Code*
	* Asterisks mark required fields.

Details for your event:

Date: (MM/DD/YYYY) Name:

Location:

Please describe the event:

(If this is a game of chance, please describe in detail the manner in which money will be collected, secured and disbursed. (Events must comply with all relevant state and local laws.)

Is this a motorized event requiring insurance? yes no

If yes, how will insurance be acquired?

Projected revenue $ Projected expenses $