Community Sponsorship Request

Program or Campaign Information
Please state the purpose of the program or the campaign*
Please state how the proceeds from the program/campaign will be used or who will benefit from the funds*
How many individuals benefit from the program on an annual basis?*
Please describe the length of the program or campaign and how often it occurs*
Example: This campaign runs from May through August on an annual basis.
Event Information
Name of the Event:*
Date of Event*

MonthDayYear
Date
Time of the event?*

Hour Minutes

AM/PM Option
Location of Event:*
Expected Event Attendance*
Please state how the proceeds from the event will be used or who will benefit from the funds*
Example: Proceeds from the event will fund scholarships for Osceola County students.
Will there be a financial ask of the guests at the event?*

YesNoNot Applicable
Sports Team Information
Type of Sport*
Age Range*
Season Start Date*

MonthDayYear
Date
Season End Date*

MonthDayYear
Date
Address of Home Games*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please state how the sponsorship dollars will be used*

Please list other confirmed participating sponsors:*
By what means would your organization publicly acknowledge its receipt of a KUA sponsorship? (i.e. ad in event program, newsletter, logo printed on t-shirts)? *
By checking this box, you agree you will provide KUA with logo recognition as explained above for the sponsorship. Failure to comply with this agreement could result in any future sponsorship consideration.*

Yes
Target audience: (select all that apply)

FamilyChildren/YouthAdults
Organization Facebook URL :
Organization Twitter Tag:
Organization Instagram Tag:
PLEASE ATTACH A COPY OF YOUR ORGANIZATION'S CONSUMER’S CERTIFICATE OF EXEMPTION OR IRS LETTER OF TAX EXEMPTION.*

Cancelof
Compliance Acknowledgement
By submission of this sponsorship request form, your organization agrees to comply with all federal, state, and local laws and regulations.

By submission of this sponsorship request form, your organization acknowledges that you have no outstanding and delinquent debt owed to KUA or any circumstances that would present a conflict of interest with KUA.

By submission of this sponsorship request form, your organization certifies that it spends no more than 35% of revenues on administrative costs and overhead.
Agree
Please verify that you are human*
Should be Empty:

Program or Campaign Information