First Name:

Last Name:

Email Address:

Phone Number:

Community you are nominating:

Population of the community:

Date of event: Saturday, June 8th - 5:00 PM Sunday, June 16th - 5:00 PM Saturday, September 7th - 2:00 PM

Would you be the lead for this initiative? Yes No

Lead's First Name:

Lead's Last Name:

Lead's Phone Number:

Lead's Email Address:

In 500 words or less, please give details on the event you are hosting:

Would this be an indoor or outdoor facility? Indoor Outdoor Both

Does the facility have the ability to broadcast the Rider game via TVs or projector? --------- Yes No

If inclement weather, can things be moved into the indoor facility? --------- Yes No

Do you have room for ALL of the following inflatables: Football Toss (10'x10'x10'), Rider Slide (10'x20'x10'), Rider Gauntlet (10'x30'x10')? --------- Yes No

Do you have access to volunteers (to run raffle tickets, 50/50, food/drink tickets, security, etc.)? --------- Yes No

Is there a concession with food and/or non-alcoholic beverages? --------- Yes No

Is there a kitchen? --------- Yes No

Are there local caterers that would be willing to work the event? --------- Yes No

Is there access to tables and chairs? --------- Yes No

Is there a stage? --------- Yes No

Is there a PA system? --------- Yes No

Is your committee willing to work with our beverage partners? (Molson Coors, Corby Distillery & Pepsi): --------- Yes No

What is the expected attendance for the event?