Event Request Form

Event Request and Information Form

Your Kiwanis Contact is: Karl Dash, Event Coordinator. He may be reached at (714)206-6517 or at [email protected]

Name of the Organization making the request*
What is the name of the organization making the request?
Type of Event*
Please select the type of event.
Type of Meals*
- Pancake Breakfast
- Hotdog and/or Hamburger
Please select the type of meal.
Event Date*
MM slash DD slash YYYY

Please enter the Event Date
Event Location*
Street Address Address Line 2 City State ZIP Code

Please enter the address
Event Starting Time*

: Hours

Minutes

AM/PM

Please enter the Event Starting Time
Event Ending Time*

: Hours

Minutes

AM/PM

Please enter the Event Ending Time
Food Service Time*

: Hours

Minutes

AM/PM

Please enter the Food Service Time
Kitchen Facilities Available for Event*
- Yes
- No
Are there any Kitchen Facilities Available for the Event?
Facilities Access Time

: Hours

Minutes

AM/PM

Please enter the Facilities Access Time
Facilities Access Contact
First Last
Please enter the Facilities Access Contact
Estimated Number of Meals*
Please enter a number from 150 to 2000.
What is the estimated number of meals that will be served? (a minimum of 150 meals will be billed)
Name of the Primary Contact*
First Last
Please enter the Name of the Primary Contact
Primary Address of the Primary Contact*
Street Address Address Line 2 City State ZIP Code

Please enter the Primary Address of the Primary Contact
Phone number of the Primary Contact*
Please enter the phone number of the Primary Contact
Email Address of the Primary Contact*
Enter Email Confirm Email

Please enter the email address of the Primary Contact
Consent*
I agree to the privacy policy.
General Information:

1. We ask that your organization contact us at least 6 weeks in advance of your event to
better assure that we can schedule it. Board decisions are made on the first Tuesday of each month and
you are encouraged to make your request in person. We meet at the Boys & Girls Club which is
at 10161 Moody Street with a start time of 6:30 p.m. Contact us at us at [email protected] to address the board.

Once approved:

2. Club members will need to have access to the kitchen (power & water) no later than two (2) hours prior to the
start of the event. Access to a freezer/refrigerator to keep the orange juice & sausage cold is desirable but a requirement.

3. The cost? The Kiwanis Club of Cypress is a non-profit organization. In order to continue our work, a donation of $100 is suggested, plus you will be billed $3.00 per breakfast to cover the cost of supplies. Fees for a hot dog
and hamburger event will be determined at the time of the request. Cost of supplies (meat, buns, etc.) will determine the unit fee.

4. You may charge any price you want for your ticket sales. Most event prices that Kiwanis has served have been set at $7 – $10 each. Breakfast includes orange juice, coffee, 2 sausage links and all you can eat
pancakes.
A hotdog/hamburger event includes hotdog/hamburger, buns, and condiments. Additional fees for water/soda and chips will be accessed.

We request that as part of your advertising, you publicize Kiwanis as the provider of the breakfast or BBQ.

5. The availability of Kiwanis, Key Club, or Circle K members for any one event varies. Your assistance with assigning some students and/or adults to help with serving and bussing the tables would be most helpful.

6. If your organization is a 501c3 organization and our food service will be in conjunction with free giveaway to the community, please contact us lower or no fee event.

Kids Need Kiwanis

Club Calendar

Event Request Form

Event Request and Information Form

Kiwanis Club of Cypress – Facebook

Kiwanis Club of Cypress – Instagram

Kiwanis Club of Cypress – Twitter

Kiwanis International

Key Club

CKI Circle-K International

Vimeo Videos