Impact Player Event Application

Contact Information

Confirm Email*

Your ideas and interest.

Tell us a little bit about yourself and/or your event. Consider the following questions. Keep it brief. 

  • Why are you interested in becoming an Impact Player for the Tom Coughlin Jay Fund?
  • How did you hear about the Tom Coughlin Jay Fund?
  • What type of event are you having? 
  • Do you need to brainstorm any ideas?
Event/Project Name
Event Date(s)
Event Description (How do you plan to raise funds for the Jay Fund?)
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