APPEARANCE REQUEST for VICKY

Thank you for your interest in VICKY, our pink fire engine, for your upcoming event or occasion.

Vicky's mission is to deliver support, hope, and inspiration to the breast cancer and healthy communities. She'll acheive her mission by:

Raising awareness about breast cancer in the community via events, appearances, and parades
Delivering health information and resource information to under-resourced and under-insured communities (often communities of color)
Inspiring and promoting hope and strength to breast cancer fighters, survivors, and thrivers
Providing celebratory rides home for patients completing treatment or phases of treatment for breast cancer

To submit a request for VICKY to appear at your event or occasion, please complete the form below. Know that we truly try to accomodate every request received. The more lead time you can give us before your event or occasion, the more likely we can get you fit into the calendar.

Thank you!

REQUESTOR'S INFORMATION

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

This is a cellphone

Yes

No

Email Address *

I preferred to be contacted via *

EVENT INFORMATON

When is your event? * +

What type of event is this? *

If your request involves a specific person (e.g. - visit, funeral, celebration of life) what is the person's name?

If your request involves a specific person (e.g. - visit, funeral, celebration of life) is this visit a surprise?

Yes

No

What Time Does Your Event Start? *

What time does your event end? *

What time do you need VICKY to arrive? * 🛈

What time will VICKY be finished? * 🛈

What is the full address where you'd like VICKY to appear? *

Where should we position VICKY? *

Tell us a little bit about your event and what we need to know. *

DAY OF Event Contact Name and Phone Number *

Check the boxes to indicate you've read the additional information: *

Submitting this form does not guarantee that VICKY can appear at your event. You understand that date, time, location, driver availability, and truck availability are all taken into consideration.

If you need to cancel VICKY's appearance for any reason, you will give For 3 Sisters as much notice as possible.

If For 3 Sisters needs to cancel VICKY'S appearance for any reason, For 3 Sisters will give you as much notice as possible.

VICKY is able to continue her mission because of the generous support of community members ike you. A donation is not required for VICKY to appear at your event, but if you'd like to make a donation, it is greatly appreciated. Any donations made in connection to your request will be used strictly for VICKY (e.g. - fuel, maintenance, etc.). Donations can be made online at www.f3s.org or mailed to the office at 18200-H Georgia Avenue, Olney, MD 20832. Thank you!