Volunteer Event Submission
Name
*
First Name
Last Name
Personal Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Community (If Applicable)
Please Select
Atlanta GA
Austin TX
Baltimore MD
Birmingham AL
Boston/New England MA
Central Florida
Central Ohio
Charleston SC
Charlotte NC
Chicago IL
Cincinnati-Dayton OH
Connecticut
Delaware
Denver CO
Detroit MI
Houston TX
Hudson Valley NY
Indianapolis IN
Iowa
Jacksonville FL
Kansas City MO
Las Vegas NV
Long Island NY
Los Angeles CA
Memphis TN
Milwaukee WI
Nashville TN
National Capital DC
Nebraska
New Jersey
New Orleans
New York City NY
North Texas
Northeast Ohio
Oklahoma
Philadelphia PA
Phoenix AZ
Pittsburgh PA
PKD Parents
PKD Thrive
Portland OR
Sacramento CA
Salt Lake City UT
San Antonio TX
San Diego CA
San Francisco CA
Seattle WA
South Florida
St. Louis MO
Tampa FL
Tidewater VA
Twin Cities MN
Western New York
Type of Event
*
Walk (Annual Walk for PKD)
Walk Fundraising (Event to Support the Walk)
Community Meeting
Community Awareness
Community Fundraiser
Location Information
Location Name
If your meeting is online only, please enter "Virtual"
Location Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Walk for PKD
Walk Details
Walk Date
*
-
Month
-
Day
Year
Date
Walk Start and End Time
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Walk Route Distance (In Miles)
*
Registration Start Date and Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Penny Kids Dash Time
Hour Minutes
AM
PM
AM/PM Option
Walk Fundraising Event
Event Details
Event Description
Ex. A walk kick-off at Buffalo Wild Wings with a percentage of sales to your local Walk
Event Date
*
-
Month
-
Day
Year
Date
Event Time
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Attendance Goal
*
Additional Information
Community Meeting
Event Details
Meeting Date
*
-
Month
-
Day
Year
Date
Meeting Time
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Meeting Description and Topic
*
Speaker Name(s)
**Speakers must be approved by PKD Foundation staff prior to confirming participation**
Speaker Information
Additional Information (Include additional information that should be included in web text.)
Is this a recurring meeting?
*
Yes
No
If recurring, please provide additional dates with start and end times. Please include location information if different.
Community Fundraiser
Event Details
Is this the first year of the event?
*
Yes
No
What type of event are you planning?
*
Golf
Casino
Cocktails
Concert
Percentage of sales
Other
Event Date
*
-
Month
-
Day
Year
Date
Event Time
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Attendance Goal
Event Description
Registration Levels
Sponsorship Levels
Fair Market Value Per Registration Level
Does your event require online registration?
*
Yes
No
Registration Deadline
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Community Awareness Event
Event Details
Event Name
*
Event Date
-
Month
-
Day
Year
Date
Event Start and End Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Event Description
*
Would you like this posted to your community web page?
*
Yes
No
Additional information or text for the web page.
Please confirm that you are human.
*
Submit
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