Hampton Roads Campaign Application X/TwitterThis field is for validation purposes and should be left unchanged.Indicate requested campaign type(Required) Beyond the Box - Online Gift Box with 70% giveback! "Add PIZZA please!" -Online ordering for families to pick up or enjoy PJ pizza at an already scheduled event. (Back to school night, Book Fair) 20% giveback! Teacher TakeOver-Online ordering for families where teachers/staff deliver to the students home! Lots of fun, contests and great prizes throughout the night! Plus every staff member that participates will receive a Free pizza certificate. 20% giveback with 100% of the tips going back to the school/PTA. After Practice Delivery-Pick up your athlete and your dinner in ONE stop! 20% giveback! Curbside Delivery Event - HR/AL only Organization InformationYour OrganizationChoose Your OrganizationDiamond Springs Elementary PTAPrincess Anne High SchoolNB Clements JR HighHugo A. Owens Middle School PTSASewells Point Elementary School SPIRIT WEEKCrestwood Elementary School SPIRIT WEEKMAW Henrico Demo TeamCrenshaw Elementary SchoolRosemont Forest Elementary School PTAVarina-Mehfoud ElementaryJackson Davis ElementaryGordon Elementay SchoolFalling Creek Elementary SchoolShort Pump Elementary SchoolShort Pump ElementaryLaburnum Elementary SchoolRussell Branch Elementary School PTARichmond ReignMAW N. ChesterfieldRuritan Nationals Softball AcademyMonacan Athletic BoostersUVARichmond UnitedChurchland Little LeagueMoyock Monarchs 11UThompson High School Marching Southern SoundsWOW Factor 11U WhiteRobious Middle School PTSARiverdale RaysSpirit Night - TESTKings Charter Swim TeamWoodmont WahoosEttrick ES PTOKaechele Elementary School PTAEcoff Elementary PTAChimborazo Elementary PTASt. Edward Epiphany SchoolWhite Oaks E.S. STEAM Night - April 22nd (5:30-7:00)Gates Elementary SchoolTidewater Undertow Field Hockey ClubTalladega Super Speedway 2026Grafton Bethel Bingo Night Feb. 17Lakeland HS Girls BasketballBRANDON MS PTA BTBWarhill Band Boosters BTBIrondale Middle School BaseballHickory High BandChosen1 Academy x Kids on FirstOrioelsLiz Moore & AssociatesMock PageSalem Church Elementary SchoolPeninsula Co-Pilots BaseballIndian River Baseball BoostersRichmond SPCAAtlee High School Choral BoostersRiver City Dance & Performing Arts TheatreGuardian Christian AcademyIronBridge AcademyOak Mountain Middle SchoolFriends of Norfolk Animal Care Center Beyond the BoxFC Richmond U13 MLS NextSimmons Middle School PTORobious Middle Math Papa 2 GoCentral Brevard SoccerKids on FIrst FoundationYorktown ES -Halloween Dance 2025Robious Elementary School PTACBC StingersJames River HS: ClarityEvergreen Elementary School P.T.A.Shady Grove Elementary SchoolNorth Elementary PTACMt. Pleasant Baptist Church Gracious Gal-rationsMustang Quarterback ClubMustang Quarterback ClubWestern Branch Cheer Association - Slice CardsDenbigh Youth Baseball SCDeenball Sports SCPearson's Corner Elementary School PTAFC Richmond U13 Magic Elite SkyVIGS Booster ClubSeven Pines ElementaryGayton ESWoolridge Elementary School PTABarack Obama Elementary School PTOKersey Creek Elementary School PTAAerial East GymnasticsHolladay Elementary School PTAJ.R. Tucker Cross Country and Track and FieldSpring Run Athletic AssociationSpring Run Athletic OrganizationThompson Intermediate School 5th gradeWedgewood ApartmentsVirginia Reds Baseball Teams Beyond the Box CampaignCosby High School Marching BandThomas Jefferson HStestGreenfield Elementary SchooltestThe Solamere GrandHarrison Elementary SchoolWashington Henry Elementary SchoolSpringfield Park Elementary SchoolHOPE FOUNDATIONClaus CaresSouth Elementary SchoolOld Hundred Athletic AssociationKanawha Redhawks - Football & CheerCVN77 Slice CardsRichmond RacewayHopkins PTARBA South RaptorsWindsor Great Parks & RecElmont Elementary School PTALewis Ginter Recreation AssociationHampton Park Swim TeamKids on first foundationThe Speed Team RVA / 804 Coaches For ChangeBon Air Elementary PTAMadison Dolphins Swim TeamChesapeake Serpents Swim TeamManchester High School CHEEREvergreen Athletic AssociationHuffman Girls Flag FootballClover Hill Sports AssociationPromotional Items PurchaseGlen Allen Gliders - Glen Allen Community CenterLibre Dance USA - December 19, 2025Talladega Super SpeedwayChelsea High School VolleyballGreen ValleyGhent School Beyond the BoxJ.R. Tucker High School FBLAHopkins ESMechanicsville Recreation AssociationChurchland Primary & Intermediate Beyond the Box CampaignForest Glen Middle School Beyond the Box CampaignWood-Dale Swim TeamEast Coast StormChesterfield Children's TheatreCloverhill Christian AcademyChester Athletic Association - CheerWoodland Pond Swim Team10X Ormond BeachHopkins Bobcats Athletic AssociationCool Spring Elementary SchoolMerritt Island Youth FootballOak Hill Sport Club Inc.Sports BackersPort Orange SoccerBethlehem Little LeagueAL TestNorthampton Little LeaguePrince George Education CenterTarrington Tigersharks-Practice & Pizza Night!Providence Athletic AssociationWVAC SoftballWells Athletic Association - BaseballPapa Johns HS- DaytonaOld Donation School Beyond the Box CampaignThree Chopt Elementary SchoolRVA TEST: Beyond the BoxPinchbeck Elementary SchoolKid City USA - Deland 2Tarrington TigersharksNuckols Farm Elementary SchoolHolman Middle SchoolAngel's Animal SanctuaryFirst Presbyterian ChurchL.A.P.YsRegion(Required)Alabama (North Central)Daytona/Space CoastRVA (Richmond) & HR (Hampton Roads)TN(Chattanooga & Knoxville)Organization not listed If your organization is not listed above, please select this checkbox and indicate your organization information using the fields below. Complete Organization Name(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Brief bio of your Organization(Required)Please Provide a logo or image that represents your Organization/Event(Required)Accepted file types: jpg, gif, png, webp, Max. file size: 256 MB. Type(Required)OrganizationSchoolTeamEventFacebook URL Instagram URL Twitter/X URL Organizer InformationFirst and Last NameEmail(Required) PhoneBest Time to CallCampaign/Fundraiser InformationCampaign Name or Rallying Slogan(Required)Campaign Description(Required)Estimated number of participants involved in this fundraiser(Required)What is your fundraising goal amount for this program(Required)Typical goal amounts can be conservatively estimated at $80 per participantWhat is the purpose or need for the money raised(Required)Ex. Equipment, supplies, etc.What is your event/end date(Required) This program will begin 2-3 weeks prior to event dateWhat time would you like your first delivery?(Papa2Go's have one drop, curbsides and teacher takeovers have multiple)Leaderboards are required for all campaigns!(Required) Yes The leaderboard tracks individual/team/grades progress as well as your overall goal success. Incentive rewards are provided by Papa Johns for Leaderboard competitions.Please provide Team or Individual’s NamesAccepted file types: csv, Max. file size: 256 MB. Please provide a CSV file of of all participants or list by grade level or team.Would you like Papa Johns to provide additional prizes for individuals/teams(Required) Yes No Would Consider **Please note: There is an increase in the fee that is withheld from all donations when additional prizes are supplied by Papa Johns. These are in addition to normal incentive pizza rewards. If prizes are organization-provided, we can provide suggestions for prize packs**How will you be communicating with your network regarding the fundraiser? This will help us provide you with the appropriate marketing creatives for a successful campaign!(Required) Email Social Media Print All the above Select all that apply.Payment DetailsTo process payment for your organization, please provide:A copy of the W-9 associated with your organization(Required)Max. file size: 256 MB. Direct Deposit set up – attached to the email we sent out, there is a “Vendor EFT Enrollment Form”Max. file size: 256 MB. By submitting this form, you attest that you have been given the authority to represent this organization and therefore have the right to set up this fundraiser in the name of the organization.Representative NamePosition/Title
