Fundraising Activity Proposal Form

Thank you for helping the children, teens and mothers-to-be at Sainte-Justine UHC! If you or your organization would like to organize an event, please fill out this fundraising activity proposal form. Your proposal must be approved by the Sainte-Justine Hospital Foundation.

Help offered for the organization of your event

What the Foundation can do

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What the Foundation cannot do

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Form

Organizers
Name of group/company organizing the event
Name of the person in charge
Address
City
Postal code
Phone (home)
Phone (office)
Phone (cell)
Fax
E-mail
Website	http://
Activity
Name of activity
Brief project description
Activity date	at
Event schedule	at
Number of participants
Location
Address
City
Postal code
Target public
Estimated budget
Total anticipated gross revenue (e.g., donations, auction, sales)	A $
Total expenses incurred (e.g., rental costs, food)	B $
Anticipated net proceeds to be given to the Sainte-Justine UHC Foundation	C $
Publicity and promotion
Please indicate how you are going to promote your activity
Do you plan on using the Sainte-Justine UHC Foundation logo on your promotional material? IMPORTANT : Please note that all promotional material bearing the Foundation logo must first be approved by a Foundation advisor.
Foundation activity calendar If you want your activity to appear in our online activity calendar, please provide the following information.
Contact person for all matters related to the activity
Phone number
E-mail
Foundation promotional material The Foundation can provide you with the following types of promotional material. Please indicate the quantities you would like for your event.
French Poster (24 x 36 in.)
English Poster (24 x 36 in.)
Banners (2 x 10 ft.)
Donation form
Pins
Coin banks
Mascot Would you like the Foundation mascot to attend your event?*

* A minimum fee of $150 (2 hours) or $195 (4 hours) may be required for animation, cleaning of the costume and transportation (if the activity is held outside Montréal). Fees vary, depending on the scope of your fundraising activity.

Standards and restrictions

Upon request, the Foundation can issue a tax receipt for all donations. In accordance with the tax laws of Québec and Canada, the receipt amount will be calculated based on the net amount of the donation.
The Foundation is not responsible for commitments made by your fundraising activity’s organizing committee and waives any liability connected with your event.
The Sainte-Justine UHC Foundation is not responsible for selling your tickets. We suggest you have one person on hand for every set of 10 tickets to be sold.
Your organization must agree to deliver all profits to the Sainte-Justine UHC Foundation within 45 business days of the date of your activity.
The Foundation reserves the right to require a financial statement or detailed budget of your fundraising activity.
Your organization must have all promotional material for your event approved by the Foundation, as well as any use of its logo. The Foundation reserves the right to cancel the project if, on serious grounds, it does not agree with the way its name and logo are being used.