We are thrilled that you are joining us to spread breast health awareness. Our goal is to increase awareness and decrease breast cancer in the community by working with you! If you are interested in hosting an educational event through our two programs, Worship in Pink or Know your Girls, please complete this form to register. Both programs have the same goal and are strucutred the same, the difference is Worship in Pink is focused on congregations of all faiths while Know your Girls is open to anyone hosting an event within the community (business, organziation, sorority, small group of friends, book clubs etc) Komen Columbus provides you with educational materials, a survivor/patient gift as well as some fun giveaway items. You will be able to pick these up at our kick off event on September 17th. 

We will be holding a kick off event for those who are registered on Wednesday, September 17th at 10am. If you would like to RSVP please make sure to fill out the last question on the registration. Attending the kick off is not required but a chance to learn more about Komen Columbus, mingle, prepare for your event as well as pick up your materials.

Please reach out to info@komencolumbus.org for any additional questions!

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* 1. Which program below are you registering for?

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* 2. Organization Information

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* 3. Please identify at least one person to be the coordinator, who will serve as the main contact and planner for your event.

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* 4. Please list date and time, if you know it.

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* 5. How many people are you planning to attend your event? 

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* 6. How many breast cancer survivors or patients are you planning to attend your event?

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* 7. Please describe the majority demographic

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* 8. How did you hear about Worship in Pink or Know your Girls?

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* 9. Last year these events raised over $6,500 and educated 6,000+ individuals. This was a huge imapct that was made in our community and this year we know we can do even better with your help! 

Please create a fundraising goal for your event, with the minimum amount $50 but we encourage you to create a challenging goal to help fund medical care costs and research for our neighbors in need in our community. 

Please share your fundraising goal with us below!

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* 10. We will be hosting a kick off event on September 17th at 10am at our Komen Columbus office (929 Eastwind Drive Suite 211 Westerville, OH 43081). This is a great time to brainstorm new ideas, learn about Komen, mingle and network as well as pick up supplies and materials for your event which Komen Columbus provides for you.

If you would like to RSVP for the event please mark below.

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