Name

First Name

Last Name

Phone *

(###)

###

####

Is this an all ages event? *

Yes

No

Will this event require a safety waiver? *

Events that pose a physical risk should be marked as yes.

Yes

No

Desired Date *

MM

DD

YYYY

Desired Location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is this event specifically geared towards the LGBTQ+ community? *

Yes

No

I'm not sure

How does this event support the LGBTQIA+ community? *

Check all that apply.

The host is LGBTQIA+

The event is geared towards the LGBTQIA+ community YES!

The event is a fundraiser for Pride of Southern Utah

The event is a fundraiser for another LGBTQIA+ advocacy organization (please list in Other)

Is this event for profit/ticketed/at a cost? *

In accordance with our 501c3 non-profit regulations, for profit events need to purchase a formal sponsorship from POSU in order for events to be promoted. If yes, we will contact you with more information.

Yes

No