Dine Out Omaha
Restaurant Application

Thank you for your interest in Stick a Fork in Cancer Omaha campaign. Join local restaurants throughout the Omaha metro to donate 15-25% of their proceeds on Wednesday, May 18, 2022.  Participating in the Stick a Fork in Cancer campaign provides an opportunity for customers, employees, and communities to bite-back against cancer by dining-in or taking-out at a participating restaurant on this date.  Funds raised through this campaign will be credited to Relay For Life of Greater Omaha.

Joining the campaign is easy! Just commit to donating a portion of sales on Wednesday, May 18, 2022. We will work closely with you on promoting your restaurant’s involvement within the community and to local media.

Restaurant Amenities

Get Involved

If your restaurant would like to participate in the Stick a Fork in Cancer Omaha campaign, please complete the below application by Monday, May 2, 2022.  Email your logos to Stephanie Banks at

If you selected "Other", enter the Give Back details.

Click here for level-specific amenities

IMPORTANT! Upon clicking the "Submit" button, you should be taken to a Confirmation 'Thank You' page.

If you are NOT redirected to the Confirmation page, it means that one of the required questions in this form still needs to be completed and we have not yet received your application. Please review the form to ensure you have completed all the required questions. You will know we have received your form upon reaching the Confirmation page. Thank You.


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