Submission Date: ______________________
DONATION REQUEST FORM
Name of Organization Requesting Donation: _______________________________________________________
Event Information
Event Name: _____________________________________________________________________________________
Date: ______________________________
Location: _______________________________________________
Expected Number of Attendees: ____________________
Attendees: Age Range: _____________
Gender: Mostly Female
Mostly Male Equal Mix
General Occupation of Attendees: ________________________________________________________________
What will the funds raised be used for? ____________________________________________________________
__________________________________________________________________________________________________
Contact Information
Name: ___________________________________________________________________________________________
Phone Number: _____________________________
Fax Number: ___________________________________
Email Address: ___________________________________________________________________________________
When would you need the Donation by (Date)? _______________________________
Please Note:
The Waters - An Urban Spa Retreat requires the Donation Request Form to be completed no later than 30 days
prior to the Event Date. We hope to be able to support as many organizations as possible, but due to the high
volume of Donation Requests received by The Waters - An Urban Spa Retreat, all Donation Requests must be
Hand-Delivered for consideration. Requests may be delivered during Regular Spa Hours:
Sunday, Monday – 10:00am-4:00pm
Tuesday-Friday – 10:00am-8:00pm
Saturday 9:00am-6:00pm
** Emailed or Mailed Requests will not be accepted. **
On Willis Way at The Shops at Waterloo Town Square ● 519-888-7727(SPAS) ●