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By submitting this form, I understand that:

  • All events to benefit Advocate Children's Hospital must be approved by the foundation prior to the event or its publicizing.
  • All promotional materials for proposed events that include the Hospital's name must be approved by Advocate Children's Hospital before they are released. I will forward a draft of all copy and/or print materials for review prior to the event.
  • When referring to the hospital in print or media, I will use "Advocate Children's Hospital" and never just "Children's Hospital".
  • Event proceeds will be submitted to Advocate Children's Hospital within 30 days from the date of the event.

* Indicates required information

Contact Information


Primary Contact

First Name * 
Last Name * 
Address * 
City * 
State * 
Zip Code * 
Email Address * 
Home Phone Number 
Work or Cell Phone Number * 

Event or Project Information

I would like to raise money for: * 

Event Name * 
Event/Project Location * 
Address * 
City * 
State * 
Zip Code * 
Event Description * 
Reason For Selecting Advocate Children's Hospital * 
Event Date *  (mm/dd/yyyy)
Event Time 
Ticket Price (U.S. Dollars) * 
By Invitation * 
Open to Public * 
Do you anticipate this being an annual event? * 
How will you promote the event? * 
Are there media partners involved? * 
Are there other beneficiaries? * 
If so, who? 
Revenue (U.S. Dollars) * 
Estimated Donation * 
Donation Date *  (mm/dd/yyyy)
Specific program to benefit * 
Local Gifts - Do you plan to seek gifts from local organizations? * 
If so, who? 
What do you need from Advocate Children's Hospital? * 
I have read and will follow the Advocate Children’s Hospital event guidelines* 
Authentication * 

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