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Our incredible fundraisers make a difference in the lives of those in our community experiencing domestic violence.

Thank you for supporting Crossroads Safehouse! If you are interested in holding your own fundraiser, please submit the form below so that we can provide the assistance you need to host a successful event. You will hear from a member of our team within 7 days of your submission. Here are some ideas to get you started:

  • Hold a fundraiser at a local business where a percentage of the sales or proceeds go to Crossroads Safehouse.
  • Put together a sporting event or fun night where proceeds from entries or tickets are donated to Crossroads Safehouse.
  • Sell a product or homemade item and donate proceeds to Crossroads Safehouse

Community Event Submission Form

Event Organizer Contact Information

Your Name

Your Phone Number

Your Email

Organization Name

Event Information

Name of Event

Date of Event

Start and End Times


Description of Event

Type of Donation (select all that apply)
MonetaryIn-Kind (Clothing Drive, etc.)Other

If you are providing something other than a monetary donation, please specify

Expected Amount of Donation

Projected Attendance

Are there other beneficiaries of this event?

If yes, please list them here:

Do you plan to solicit donations and/or sponsorships?

If yes, please list them here:

Does your event require the assistance of Crossroads volunteers?

If yes, how many?

What will be the role of these volunteers, and what times will they be needed?

Does your event require the presence of a Crossroads Staff Member/Representative?

If yes, would you like the representative to speak at the event?

If yes, how much time is allocated for the speaker?

Publicity Information
All materials must be reviewed and approved by Crossroads Safehouse in advance of distribution.

Please describe your plan for marketing and promoting the event (press releases, social media marketing, flyers, etc.)

Is there an event website?

Web Address:

Please upload all advertising materials

Crossroads can promote your event on our website and social media channels.

Funds can be designated to Crossroads Safehouse, helping the organization meet its most pressing needs

If no, what alternative program would you like your funds to be designated to?

By pressing send, you specifically agree to all the terms and conditions contained in the “Policies and Procedures for Third-Party Fundraisers” attached to and made a part of this application. You understand that your event is not considered an approved event until written approval of this application is received from Crossroads Safehouse. No amendment, modification or waiver of any of the terms and conditions contained in this document and the “Policies and Procedures for Third-Party Fundraisers” shall be valid unless in writing.

At no time will the Crossroads Safehouse, or any representative of the Crossroads Safehouse, be responsible for the cost, planning, or staffing of your event, nor will they be liable for personal injuries or damages to property which may occur during your event. You agree to indemnify and hold harmless Crossroads Safehouse and their employees, agents and representatives, from any and every claim, demand, suit and payment related to or caused by my event.

If you have questions or experience problems with this form, please contact us by email or by phone at (970) 530-2353.