Community Support Request Form

Requesting Organization Name *

First Name *

Last Name *

Email Address *

Phone Number *

Event Name

Event Date

Event Time

Hours

Minutes

AM/PM

Street Address

City

Country

Estimated Attendance

Primary AudienceStudents/YouthGeneral PublicCorporate EmployeesSeniors

Event Type

Event Goal/Theme

TYPE OF SUPPORT REQUESTEDPlease check all that apply.

Informational Booth / Display

Details / Requirements

Guest Speaker / Presentation

Details / Requirements *

Sober Zone Service

Details / Requirements *

Materials Only

Details / Requirements *

Booth Setup Location

Required Space

Table & Chairs ProvidedYesNo

Parking AvailableYesNo

Parking Address/Location

On-Site HSSE Contact

Name *

Phone *

User Agreement

Acknowledgement: I understand that submitting this request does not guarantee Arrive Alive's participation, and all commitments are subject to staff/ volunteer availability and alignment with organizational goals.
Recognition: I agree to formally recognize Arrive Alive’s support (e.g., verbally at the event, via social media, in the event program).
Waiver: I confirm that my organization will hold Arrive Alive harmless for any operational issues or injuries occurring at the venue not directly resulting from the actions of Arrive Alive staff.

I have read and agree to the terms listed above.