Your Name *

First Name

Last Name

Event Date *

MM

DD

YYYY

Location *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Check All That Apply *

NOVA Pride May Collect Donations

NOVA Pride will have a table to Give Information

NOVA Pride will Receive a Portion of Event Revenue

NOVA Pride will be provided Free Admission for Board and Volunteers

NOVA Pride May Market Event as-is

NOVA Pride May Market Event as "NOVA Pride Sponsors"

None of the Above

NOVA Pride Logo Use *

Do you wish to use NOVA Pride Logo in Marketing?

Yes

No

Agreement *

I agree that this event fits within the mission of NOVA Pride, and does not discriminate against any person for any reason. I understand that due to the high volume of requests, NOVA Pride May not be able to grant my request. I understand that NOVA Pride may require additional agreements prior to event participation.

I Agree