Tri Delta Place Special Event Sponsorship Application

Asterisk (*) indicates a required field.

Contact Information

First Name*

Last Name*

Organization*

Address 1*

Address 2

City*

State/Province/Region*

Zip/Postal Code*

Phone Number*

Fax Number

Email Address*

Previous Event Information

Have you ever sponsored a special event at the Tri Delta Place, Target House or the Memphis Ronald McDonald House?*

If so, which one?

If so, who was your contact?

Date of previous event

Current Event Information

Does your group have a relationship with a current or former St. Jude patient?*

Yes No

If yes, please describe relationship

Number of people in group*Maximum group size is 10

Event name and description*(please be as specific as possible and include details on any crafts or activities you plan to provide)

I can provide video, audiotape, and/or script of the performance and/or lyrics to songs*

Yes No

Supplies provided by group*(group is expected to provide all materials necessary for event)

Please list any giveaways you plan to provide(giveaways are not expected or appropriate for all events, but must be approved in advance in order to be distributed to families)

Dates you would like to host the event

All events are hosted between 4 pm to 8 pm.

First choice date*

Second choice date*

Estimated duration of program*

20 minutes 30 minutes 45 minutes

Set-up time required?*

No set-up 10 minutes 15 minutes 20 minutes

Breakdown time required?*

No breakdown 10 minutes 15 minutes 20 minutes

Arrive in costume?*

Yes No

Breaks out of costume required?*

Yes No

Submission

I have read and understand the Tri Delta Place Guidelines and Requirements for sponsoring special events.

Sponsorship Guidelines*

Religious Content Requirements*

Confidentiality Guidelines*

Initials*

Date*

I agree to share this information with St. Jude*
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