Register Your Fundraising Tell us your plans Register Your Fundraising By committing to raise money in aid of Helen & Douglas House, you’ll become one of our incredible #HDHHeroes! Every challenge undertaken and every pound raised makes a huge difference to local terminally ill children, at our hospice and at home. Filling in this form means our fundraising team can provide you with the right support to make your fundraising endeavour a success, whatever you have planned. Thanks to amazing people like you, we will continue to be there for families going through the unimaginable. About Your Fundraising I'm registering to fundraise * As an individualAs part of a nursery, school, college or universityAs part of a companyAs part of a group or club Name of nursery, school, college or university. Name of business Name of group or club Please provide details Have you fundraised for Helen & Douglas House before? * Yes No Please select your activity * Bake SaleCoffee MorningAuctionRaffleBingoBucket CollectionQuiz EventSponsored WalkSponsored RunSponsored CycleSponsored TrekSponsored SwimSponsored TriathlonSponsored BoxingHair Challenge - growing, shaving or dyeing your hairDress Down/Up DayGolf DayCelebration Fundraiser - birthdays, weddings, Bat Mitzvahs etcChristmas FundraiserPerformance Event - theatre shows, dance shows, choirs etcDay Event - festivals, fetes, afternoon tea fundraiser etcEvening Event - dinner parties, black tie dinners etcCharity Of The Year£1.00 on the BillOther Please select your activity Event name * How will you be fundraising? - We'd love to hear more about your fundraising plans! The more details the merrier. Do you have a date for your event? Where are you planning on fundraising? How much are you hoping to raise? * £ How many times will your fundraising activity occur? * Once More than once Your Age Are you under 18? * Yes No Date of birth * Date of birth Contact Details Title * MrMrsMissMsDrProfessorI prefer not to sayOther Title First Name * Surname * Email * Phone Address * Address Address Address Town/City Town/City County County Postcode Postcode Contact Details First Name * Surname * Please ensure your Parent or Guardian completes their details on this part of the form. Parent/Guardian Title * MrMrsMissMsDrProfessorI prefer not to sayOther Parent/Guardian Title Parent/Guardian First Name * Parent/Guardian Surname * Parent/Guardian Email * Parent/Guardian Phone Parent/Guardian Address * Parent/Guardian Address Parent/Guardian Address Parent/Guardian Address Town/City Town/City County County Postcode Postcode Marketing Preferences We may stay in touch with you by post, phone and social media with news from the hospice, information about events you might be interested in and other ways your fundraising can support terminally ill children. If you would like us to contact you by email or SMS please tick the box. to opt into email to opt in to SMS We take your privacy seriously. For more information about what we do with your data, please read our privacy policy. You can opt-out of receiving this information, or having your data used in these ways, at any time by contacting us on [email protected] or 01865 799150. Your Motivation Please tell us why you're fundraising * My family have been supported by Helen & Douglas HouseI know someone who has been supported by Helen & Douglas HouseI want to honour the memory of a loved one or friendI want to give back to othersI want to support a local charityOther Please provide details T&Cs * I have read and accept Helen & Douglas House’s Fundraising Terms and Conditions Submit If you are human, leave this field blank.
