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CHILL ACT COLORADO
SPONSOR & CO-SPONSOR
QUALIFICATION FORM
First name
*
Last name
*
Email
*
Phone
*
Multi-line address
Country/Region
*
Address
*
City
*
Zip / Postal code
*
Company name
*
Social Media ( Facebook )
Social Media ( Instagram )
Social Media ( Tiktok )
Business Type
Are you in good legal & financial standing?
*
Yes
No
Does your organization have any past or current legal proceedings
*
Yes
No
Is your mission aligned with families, therapy, education, or enrichment values?
*
Yes
No
Primary Category
ABA Therapy
Education / Homeschool
Enrichment / Fitness
Healthcare / Wellness
Product/Services for Families
Other
Sponsorship Tier Interested In
*
Title
Co Sponsor
Are you willing to allow your logo/name in co-branded event marketing?
*
Yes
No
Do you agree to payment within 2 days once approved?
*
Yes
No
Do you confirm your organization follows ethical labor, diversity & inclusion practices?
*
Yes
No
Do you agree that CHILL Act & Autism Colorado reserve the right to review and approve sponsorships?
*
Yes
No
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HOME
SPONSORS
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