Saskatchewan Brain Injury Association
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Events
BrainLove Event Application
BrainLove Event Application:
Please make sure that you fill out all fields that apply.

Lodge Name:
Lodge Member's Name:
Email Address:
Confirm Email Address:
Phone:
Campaign:
Type of Event:
Event Date:
Event Location:
Event Time:
If this is a presentation, please describe the event (Gym assembly, classroom etc.):
If this is a presentation, please confirm with the event location organizers to see if they have any of the below items. If not, advise if you require any of the following items (Mic, Screen, Projector, Extension Cord):
If this is a presentation, approximately how many will be in attendance?
Supplies Needed:
Comments:
PLEASE NOTE THAT SBIA WILL REQUIRE AT LEAST 2 WEEKS TO PREPARE AND MAIL ANY REQUESTED MATERIALS.