Saranac Lake Young Arts Association

APPLICATION for
SUPPORT of an EVENT
An artistic event has a specific time and location. It may occur annually. Admission may be charged. It does not include instruction (see educational program.)
Sponsor _________________________________________________________________________
Address __________________________________________________________________________
City_____________________________________________State___________ZIP_______________
Phone ____________________________________ Email __________________________________
Contact Person ____________________________________________________________________
Phone ____________________________________ Email __________________________________
Title of Event ______________________________________________________________________
Venue ___________________________________________________________________________
Has this space been approved? ________ on _____________________________________________
Date (s) _________________________________________________________________________
Time (s) _________________________________________________________________________
How does the event support SLYAA's mission to support and nurture the arts among Saranac Lake school district youth? (Please use an additional sheet for longer answers)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Amount of support requested? $____________ Grant to be used for (e.g.: space rental, honoraria, etc.):
_________________________________________________________________________________
Do you need other support from SLYAA? ____  (e.g.: pr, program/poster design, printing):
_________________________________________________________________________________
Will this event produce income for SLYAA ? ____ Estimated amount? $_____________
Signature__________________________________________________________________________
Print name _______________________________________________ Date _____________________

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P.O. Box 1130 ~ Saranac Lake, NY 12983
Email: info@youngartsonline.org

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