2013 Awareness Week Event Detail Sheet Copy of page: Question Title * 1. Who is the primary contact for your walk/event? Full Name(s) Street Address City, State, Zip Phone Number Email Question Title * 2. Additional Coordinator Full Name(s) Street Address City, State, Zip Phone Number Email Question Title * 3. Additional Coordinator Full Name(s) Street Address City, State, Zip Phone Number Email Question Title * 4. What style of walk/run/event are you planning? Walk Walk/Fun Run 5K Walk/Run 5K run Other Other (please specify) Question Title * 5. On what day will the walk/event be held? Saturday Date Sunday Date Other Date Question Title * 6. Please share start times. Registration Start Time AM/PM - AM PM Walk/Event Start Time AM/PM - AM PM Question Title * 7. What is the location of the walk/event? Location Name Street Address City, State, Zip Code Question Title * 8. In what WSA region does your event take place? Canyon Heartland Great Lakes Great Plains Gulf Coast Mid-Atlantic Midwest New England Northwest Rocky Mountain Sierra South Central Southeast South Texas Sunshine Tri-State Upper Midwest Question Title * 9. Will there be a location rental fee? (amount must be pre approved) No Yes Yes, what is the amount Question Title * 10. Does the location require proof of insurance? (most locations require this document, please check with your venue to verify) No Yes If yes, provide details Question Title * 11. Do you plan on using WSA online registration? Yes No if no, please specifiy Question Title * 12. What are the goals you have set for your walk/event? Question Title * 13. Are you planning to seek sponsors for the walk/event? (financial and/or products/services) No Yes please specify Question Title * 14. Do you currently have any sponsors for the walk/event? (financial and/or products/services) No Yes If yes, please list sponsors Question Title * 15. Do you plan on having a social event following the walk/event? (BBQ, picnic, etc.) No Yes if yes, please specify Question Title * 16. Will there be entertainment at the walk/event? (music, face painters, balloons) No Yes If yes, provide details Question Title * 17. Will food be available at the walk/event? No Yes if yes, please specify Question Title * 18. Would you like to sell WS Awareness merchandise at your event? No Yes Question Title * 19. Are you planning any additional fundraising opportunities? (auction, bake sale, etc.) No Yes if yes, please specify Question Title * 20. Select the items you would like included in your Coordinator Care Package. Your package will be sent following the completion of your registration page. Walk Posters A Word About Williams Syndrome Post Cards Walk/Sponsorship Brochures Awareness Week Banner Credit Card Slips Receipt Books Registration/Donation forms Question Title * 21. Additional Comments/Questions: Submit response >>