2019 One Day Without Shoes Registration

Event Participation

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* 1. Company Contact Information

Company

Address

City

State

ZIP

Email Address

Phone Number

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* 2. Who is the contact individual?

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* 3. There are 3 options for participating in the shoe collection as a drop-off site. Please select your preference:

Will someone from your company be able to make arrangements to pick up the receptacle or would you prefer the Mission to deliver?

We will pick up our receptacle from the Mission's Help Center. Will be available March 1st.

We would like our receptacle delivered to our organization. Receptacle delivery April 1st-3rd.

We have our own shoe collection receptacle.

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* 4. The shoe drive ends Friday, April 17th. Will someone from your company drop off your receptacle at the Mission's Help Center by Monday, April 20th or would you prefer the Mission to pick it up some time between April 20th-22nd?

We will deliver our receptacle to the Mission's Help Center by Monday, April 20th.

We would like our receptacle picked up at the end of the shoe drive between April 20th-22nd.

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* 5. If you have chosen pick up and/or delivery by the Mission, what hours are you available?

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* 6. The walk from our 84th & O St location to the Mission’s Help Center is to bring awareness of the needs in our community for those with inadequate footwear. We would be delighted to walk side by side with you and your team. Will your team walk with us on Tuesday, April 14th?

No, not this year.

Yes, we would love to. (How many of your team can join us?)

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* 7. 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.

Collect shoes at my organization.

"Sell" paper feet for a donation to People's City Mission for the duration of the shoe drive.

Attend press conference and live radio remote at Cornhusker Bank (84th & O) on April 14th at 11:15 am.

Join in the awareness walk from Cornhusker Bank (84th & O) to People's City Mission Help Center (68th & P) on April 14th at 11:30 am.

Unable to collect shoes at my organization, but will drop off shoes at the People's City Mission Help Center, any Cornhusker Bank or other partner location.

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* 1. Company Contact Information

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* 2. Who is the contact individual?

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* 3. There are 3 options for participating in the shoe collection as a drop-off site. Please select your preference:Will someone from your company be able to make arrangements to pick up the receptacle or would you prefer the Mission to deliver?

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* 4. The shoe drive ends Friday, April 17th. Will someone from your company drop off your receptacle at the Mission's Help Center by Monday, April 20th or would you prefer the Mission to pick it up some time between April 20th-22nd?

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* 5. If you have chosen pick up and/or delivery by the Mission, what hours are you available?

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* 6. The walk from our 84th & O St location to the Mission’s Help Center is to bring awareness of the needs in our community for those with inadequate footwear. We would be delighted to walk side by side with you and your team. Will your team walk with us on Tuesday, April 14th?

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* 7. 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.

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* 8. Do you have any special instructions you may want us or the Mission to know?

* 3. There are 3 options for participating in the shoe collection as a drop-off site. Please select your preference:

Will someone from your company be able to make arrangements to pick up the receptacle or would you prefer the Mission to deliver?