Pediatric Brain Tumor Foundation
Working to eliminate the challenges
of childhood brain tumors
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Fundraising Application

If you would like to organize a community fundraising event benefiting the PBTF, please review the following agreement and supply the required information. A PBTF staff member will contact you the business day after you submit your form. Please note, that your submission does not mean your event is officially approved. Please direct any questions to Emily Clark by email, or calling 828-450-2308.


First Name*
Last Name*
Telephone Number*
Street Address*
Additional Address
Int'l State or Province
Zip or Postal Code*

* Asterisks mark required fields.

Event Name*
Start Date*
End Date*
Estimated Costs*
Estimated Revenues*
Briefly describe the event*