Activity proposal form

IMPORTANT - Your activity must be pre-approved by Mouvement Action-Découverte.

All fields are mandatory

Organizers

Name of your organization

Name of person in charge

Title

Address

City:

Postal code:

Email:

Telephone (work) (000-000-0000): Telephone (cell) (000-000-0000):

Activity

Name of proposed activity:

Date of proposed activity (YYYY-MM-DD):

Time of proposed activity:

Location of proposed activity:

Brief description of activity:

Budget

Important: All expenses related to the activity must be covered by the funds raised or by the organizers themselves.

Revenue

Number of participants:

Revenu brut prévu par participant:
$

Anticipated gross revenue per participant:
$

Expenses

Rentals
$

Food / beverages / alcohol:
$

Graphic design and printing:
$

Security
$

Advertising and promotion:
$

Permits and/or insurance:
$

Door prizes:
$

Other expenses, specify

Total expenses:
$

Anticipated total net profits:
$

Enter the letters and numbers below to validate the form (to ensure the form is not computergenerated)