Third-Party (Community Partner) Fundraising Event Registration Form

Summary

This form is for Community Partners (both individuals and organizations) who desire to hold an event where the resulting funds will be donated to UWF for the benefit of and to support the mission of UW-Madison, its affiliates or UW Health (including UW Carbone Cancer Center).

Thank you for being a community partner with UW–Madison and affiliates. We want your event to be a success. Please complete the following information, and your submission will go to WFAA for approval. If you have any questions, please contact our Gift and Fund Management Team.
Contact Information
Name*
First*
Last*
Email*
Phone*
Alternative Phone
Organizer Information
Individual/Organization/Group planning event:
Mailing Address*
Street Address*
Address Line 2
City*
State / Province*
ZIP / Postal Code*
Country*
Purpose of Organization:
Relationship with UW-Madison or Affiliates:
Event Information
Event Name
Date
Event Address
Street Address
Address Line 2
City
State / Province
ZIP / Postal Code
Country
Event Description
Has this event taken place before?
- Yes
- No
Which date did the event occur on?
Please list any corporate sponsors that will be involved:
This event is:
- By Invitation Only
- Open to the Public
Projected Attendance:
Financial Information
UWF Designation Fund to benefit from the event:
Estimated Gross Revenue from Event:
Values of Goods & Services received by each donor/attendee:
Please note: The value is determined by establishing the Fair Market Value, not cost of the benefit received.
Expected date net proceeds will be given to UWF:
Agreement to Terms By Event Organizer
Name of Person Agreeing to Terms
Note, that this in combination with submitting this form is your signature agreeing to the terms.
Title
Event Organizer
Date of Agreement
By submitting this form you agree to the following:
I/We have read the UWF Third-Party Fundraising Events Policies and Procedures. I /We agree to adhere to those guidelines in planning and executing our event/activity. I/We understand that the guidelines are not comprehensive and that all decisions for the event/activity, including safety precautions, remain the responsibility of the event/activity sponsor. The University of Wisconsin Foundation does not accept or assume liability associated with the event/activity.

Please complete all required (*) fields and correct any error(s) above.