Donation Request Form - City Of Overland Park
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1City of Overland Park Donation Request Form
Thank you for your interest in a donation from the City of Overland Park Recreation Services Department.
The department believes that giving back and providing opportunities for local organizations to grow is
crucial in the development of those organizations. The department is pleased to support charitable organizations
which positively impacts our community through the donation of day passes to our community centers and/or
swimming pools. Please complete the following form and return by mail or e-mail at least 2 weeks prior to the
event to the following address or e-mail address: REQUESTS SENT VIA FAX WILL NOT BE ACCEPTED.
Donation Coordinator, Recreation Services Department, 8101 Marty St., Overland Park, KS 66204
OR
Organization Information
Organization Name: _______________________________________________________________________
Organization Address, City, State, Zip: _________________________________________________________
Organization Phone Number:_________________________________ Fax: ___________________________
Organization E-mail (required): _______________________________________________________________
501(c)(3)# or Tax Exempt Number: ____________________________________________________________
Contact Person Information
Contact Name: ________________________________________ Title: _______________________________
Contact E-mail (required):___________________________________________________________________
Contact Cell Number : _________________________ Work/Home Number: ___________________________
Event Information
Event Name: _____________________________________________________________________________
Benefi ciary: ______________________________________________________________________________
Event Date and Time: ______________________________________________________________________
Projected Attendance:_________________________ Cost per Person (if applicable): ____________________
Item To Be Used For (Door Prize, Silent Auction, Live Auction, Etc.):__________________________________
Would you prefer community center, swimming pool or a mixture of both day passes? ____________________
Event Description: _________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
NOTE: Due to the volume of requests, Recreation Services will limit our donations to non-profi t, charitable
501(c)(3)organizations or those events benefi ting a charitable 501(c)(3). We cannot give out memberships or
gift certifi cates. Requests must be received two (2) weeks prior to your event. We cannot fi ll requests without
proper advance notifi cation. One donation will be given per calendar year.
A submitted request does not guarantee a donation.
******************************************* FOR OFFICE USE ONLY ***************************************************
Received:_______________
Status: Accepted ______ Declined: ______ Why? ____________
Item Sent To Organization:___________
Date Sent:__________
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