Skip to content
2026 Omaha Day Without Shoes Registration Campaign Dates: April 6th - April 19th
Event Participation
*
1.
Company Contact Information
(Required.)
Company
Address
City
State
ZIP
Email Address
Phone Number
*
2.
Contact name:
(Required.)
*
3.
There are 2 options for participating in the shoe collection as a drop-off site. Please select your preference:
Would you like the Stephen Center to deliver your receptacle or would you like to use your own?
(Required.)
We would like our receptacle delivered to our organization. Receptacle delivery week of March 30th.
We have our own shoe collection receptacle.
*
4.
Once the campaign has ended, would you like the Stephen Center to pick up your receptacle or would you like to deliver it the week of April 20th?
(Required.)
We would like our receptacle
PICKED UP
the week of April 20th.
We would like to
DELIVER
our receptacle the week of April 20th.
*
5.
There are many ways to partner with us for this event. Please mark all the ways your organization would like to get involved to ensure you are recognized for your participation.
(Required.)
Collect shoes at my organization.
Attend Sole Impact, the shoe distribution day event and assist Stephen Center guests find shoes on Wednesday, April 29th at 2723 Q St.
"Sell" paper feet for a donation to the Stephen Center for the duration of the shoe drive. How many would you like?
6.
How did you hear about this event?
Our organization has participated before.
We saw it on Cornhusker Bank Marketing. (social media, emails, website, busses, etc)
We saw other businesses participating and wanted to support the community as well.
A friend, client, family or bank associate referred us. (Please list their name. We'd like to thank them!)
7.
Special requests or instructions for:
Cornhusker Bank
Stephen Center
Two Men & a Truck
Request/Instruction:
