Queer Northshore Event Request Form

The following form is for those looking to host events through Queer Northshore. Please feel out the form below to submit your event. All events should be submitted for consideration at least one month prior to the proposed date of the event. You will be asked to confirm that you have read and agree to the terms in our Code of Conduct. Please click here to review these terms before proceeding.

Name

First Name

Last Name

Phone Number

(###)

###

####

What type of event is this?

Please select the most relevant option.

Is this a possible Queer Northshore fundraising opportunty?

Name of Event Location

Please list the name of the location.

Location address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Proposed Date of Event

YYYY

Proposed Time of Event

Hour

Minute

Second

Are dogs welcome at this event?

Note: Service animals are welcome at all events. Selecting "No" on this question will only apply to non-service animals.

Accessibility

We strive to make all QNS events accessible to all people. Please include any insights you have about this event that may impact those with accessibility needs. For an extensive list of accessibility considerations, see this page: https://accessibility.cornell.edu/event-planning/accessible-meeting-and-event-checklist/

If there is a cost associated with this event, please list it below.

Include the cost and what it pays for.

Recurring or one-time event?

Please select Recurring if this is an ongoing event that would occur with a regular frequency. Please select One-Time Event for all others.

Event Description

Please include as much detail as possible, including any relevant links to ticketing or info sites. If this will be a recurring event, please also use this space to suggest the frequency of the event. Please also include any support/assistance you would like with this event.

By checking this box, you are stating that you have read the Queer Northshore Code of Conduct and you agree to abide by the terms stated within.

https://www.queernorthshore.org/code-of-conduct

I agree to abide by Queer Northshore's Code of Conduct