SAFECHAIN™ MASQUERADE BALLCITY HOST APPLICATION FORM

SAFECHAIN™ MASQUERADE BALL

CITY HOST APPLICATION FORM

Bringing Visibility to the Unseen

Thank you for your interest in hosting a SAFECHAIN™ Masquerade Ball in your city.

SAFECHAIN™ licenses a limited number of cities annually.
Each host must meet safeguarding, financial, and programme integrity standards.

Please complete this application in full.

SECTION 1 – ORGANISATIONAL DETAILS

1. Legal Name of Organisation:

2. Trading Name (if different):

3. Company Registration Number (if applicable):

4. Registered Address:

5. Primary Contact Name:

6. Position/Title:

7. Email Address:

8. Telephone Number:

9. Website (if applicable):

SECTION 2 – CITY & EVENT PROPOSAL

1. Proposed City:

2. Proposed Month & Year:

3. Proposed Venue (if known):

4. Estimated Capacity:
   ☐ 100–150
   ☐ 150–250
   ☐ 250–400
   ☐ 400+

5. Why do you believe your city is suitable for hosting a SAFECHAIN™ Masquerade Ball?

(Please outline civic engagement, institutional presence, university or legal hub status.)

SECTION 3 – SAFEGUARDING & ETHICAL ALIGNMENT

SAFECHAIN™ prioritises survivor dignity and safeguarding integrity.

1. Does your organisation have a designated safeguarding lead?
   ☐ Yes
   ☐ No

If yes, provide name and qualifications:

2. Describe your safeguarding policies (attach if available):

3. How will you ensure survivor stories are shared ethically and with informed consent?

4. Confirm agreement to uphold SAFECHAIN™ non-partisan, non-defamatory, dignity-led principles:

☐ I confirm

SECTION 4 – FINANCIAL STRUCTURE

1. Preferred Licensing Model:

☐ Fixed Licensing Fee + 20% Net Proceeds
☐ 25% Net Proceeds

2. Estimated Ticket Price Range:

3. Estimated Gross Revenue Projection:

4. Confirm commitment to allocate minimum 20% of net profit to the SAFECHAIN™ Survivor Scholarship Fund:

☐ I confirm

SECTION 5 – INSTITUTIONAL ENGAGEMENT

SAFECHAIN™ is built on a 3-layer model (Training, Survivor Pathway, Infrastructure Reform).

1. Which institutions in your city could realistically attend or partner?

☐ Law firms
☐ Universities
☐ Local authority
☐ Corporate sponsors
☐ Safeguarding boards
☐ NHS/Healthcare
☐ Police

List potential organisations:

2. How will you promote SAFECHAIN™ professional training modules locally?

SECTION 6 – PROGRAMME COMPLIANCE

All SAFECHAIN™ Masquerade events must include:

• Honour & Remembrance Segment
• SAFECHAIN™ 3-Layer Presentation
• Scholarship Announcement
• Institutional Reform Pledge

Do you confirm adherence to the standard programme structure?

☐ Yes

SECTION 7 – MARKETING & MEDIA

1. Outline your marketing strategy for ticket sales:

2. Do you have access to media relationships in your city?

☐ Yes
☐ No

If yes, provide details:

SECTION 8 – EXPERIENCE & CAPACITY

1. Have you organised formal events of 150+ guests before?

☐ Yes
☐ No

If yes, provide examples:

2. Provide details of your event team (names & roles):

SECTION 9 – STATEMENT OF INTENT

In 300 words or fewer, explain why you wish to host the SAFECHAIN™ Masquerade Ball and how you will uphold its mission.

SECTION 10 – DECLARATION

I confirm that:

• All information provided is accurate
• I understand SAFECHAIN™ retains brand ownership
• Final approval is subject to review
• A formal Licensing Agreement will be required

Name: __________________________
Signature: _______________________
Date: ___________________________

INTERNAL USE ONLY (SAFECHAIN™ REVIEW)

Application Received: ________
Reviewed By: ________
Approved / Declined
Notes: __________________________