Seymour Pink Forms

Here you can easily find forms needed for sponsorships, events, or financial assistance. 

Please send all forms to:

Seymour Pink, Inc.
PO BOX 333
Seymour, CT. 06483

Financial Forms

In an effort to assist and empower those victimized by this breast cancer diagnosis, Seymour Pink offers financial support. Please download and complete the forms below, including the information which is to be filled out by your treating physician. If you have any questions at all, please contact Mary Deming.

Please note the Financial Request Form was updated on April 24, 2023. Please download and use this most current version. 

Banner Forms

Throughout the month of October, we display banners in honor or in memory of loved ones throughout downtown Seymour.  Seymour Public Works graciously helps us display these banners.  We cannot control which banners are placed in which parts of town - drive around, safely, and enjoy the view!

Due to limited space - and my how we have expanded over the years - sales of new banners are very limited, after existing banners have had the chance to be renewed.

Banner Renewals are due, paid, by June 30th.

New Banner sales will begin July 1st through July 31st. 

Scholarship Forms

We offer scholarships to college bound students affected by breast cancer.

Our 2024 Scholarships are open for submission through Monday, April 22, 2024.

Please click to view our 3 scholarship opportunities below. 

Volunteer Form

As a 100% volunteer non-profit organization, we always appreciate helping hands! Please complete the below form if you're interested in volunteering with our team.

Event Sponsor Forms

The most up to date information about our upcoming events are found on the events pages under the 'Events' Menu Heading. 

Current open event sponsorships are:

T-Shirt Design Contest

Each year we host a contest to design our annual Seymour Pink Day t-shirt. 

Details about the contest and entry form are available by clicking the button below.

The 2024 contest closed for submissions  Monday, March 18, 2024.  The application is shown here for record. 

Stay tuned in early 2025 for our 2025 contest!