2. 

4. Thank you for your interest in supporting the Dallas Park and Recreation Senior Program division. Please fill out the information below and someone from our department will contact you.

6. Date
8. Contact Person*
9. Title*
10. Organization*
12. Email Address*
13. Phone Number*
14. Work/Home Phone Number
16. Street Address*
17. City & State*
18. Zip Code*
20. Preferred Sponsorship Area*
    -- Select One --Mother's Day LuncheonFather's Day LuncheonHealth & Wellness ExpoDallas Golden GamesSenior Summer CampOther
21. Potential Sponsorship Level
    -- Select One --Platinum - Title - SponsorshipGold SponsorshipSilver SponsorshipBronze SponsorshipOther
23. Promotional Items*

    Please provide a brief description of all promotional items that will be handed out at the event.

24. Other Details
26. Please provide a list of potential items for in-kind donation and the date items will be dropped off:
28. Please submit this online form upon completion. If you need to submit a printed form, please mail the completed form to Lindsey Rider - 5620 Parkdale Drive, Dallas, TX 75227 or by emailing the form to Lindsey.Rider@dallas.gov
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field