top of page

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

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 6, 2026.  Please download and use this most current version. 

Financial Request ChecklistFinancial Request FormDonation Receipt

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, or late fees apply.

​

New Banner sales will begin July 1st through July 31st on a first come, first served basis. 

​

*Please note specific postmark requirements in the forms below.

If you have not renewed your banner, it will not be hung in October. If you are not renewing and would like to take your banner home, we can arrange for pick-up in September, please reach out to Mary Deming. 

​

SCHOLARSHIP FORMS

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

 

Our 2026 Scholarships are are closed for submission.

 

Please click to view our scholarship opportunities below. 

The Theodosia McEnerney Memorial ScholarshipThe Sara and Gary Morgatto Unsung Hero Memorial ScholarshipThe Colleen Fries Memorial ScholarshipThe Colleen Garofalo Memorial Scholarship

VOLUNTEER
FORMS

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.

Volunteer ApplicationFundraising Form

EVENT SPONSOR
FORMS

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

​

Our 5k Sponsorships open in June. Commitment must be recieved by August 15th to be on race t-shirts.

2026 5K Sponsor

T-SHIRT DESIGN CONTEST FORMS

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 2026 contest closed for submissions. Form for reference only.

2026 T-Shirt Contest
bottom of page