Plan an Event for American Family Children's Hospital Contact Information If you have any questions, please contact Lori Schultz at (608) 890-9308. PDF Version Fundraising Event Form (pdf) Thank you for your interest in organizing a fundraising event to benefit American Family Children's Hospital. The process is detailed below: Complete and submit the online form below, or print and complete the PDF version of the form. Due to the sensitive nature of our mission of caring for children, we do require that all activities be approved by American Family Children's Hospital/UW Hospital and Clinics. Once your activity has been approved you will be permitted to use the American Family Children's Hospital name and logo in your fundraising. Fundraising Activity Request Form Name of Activity Sponsoring Organization Contact Person Title Address Phone Number Home Work Cell E-mail Address Fax Number Activity Times/Dates Activity Description How will you raise money with this activity? How do you plan to publicize this activity? If you plan to seek gifts or donations from local businesses, please list them here: Projected Proceeds: Projected Expenses: Estimated Gift to American Family Children's Hospital: This contribution will support: Area of Greatest Need Patient and Family Fund Beat Childhood Cancer Research Fund Child Life Fund Certification I understand that I may not use the name American Family Children's Hospital or its logo for any purpose or proceed with the proposed fundraising activity until I receive written approval from the Vice President of American Family Children's Hospital or designee. The information provided on this form is correct and accurately describes the proposed fundraising activity. I have read and agree to follow our fundraising guidelines.