Event Registration

When you’ve decided what event you are doing, let us know by registering your event here. Fill in as much detail as possible. We can guide you through your fundraising journey, advise and help promote your event. Whatever amount you raise will make a huge difference to hundreds of patients around the country that needed and may need our service. We will get in touch within 48 hours to let you know your event is approved

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Please complete ALL fields

Address Line 1 Address Line 2 City / Town County Eircode Country

Fundraising Event Name(Required)

Date Of Event(Required)

Hidden

Fund-raising for

Education

Support service

Newly diagnosed supports

Research

Where it is needed most

Describe Fundraising Event(Required)

Other promotional material

Please indicate if you would like posters, stickers and / or collection buckets:

Would you like for us to send you our official logo for branding purposes?

Yes

Do you require any Sponsor cards?

Yes

Number of Sponsor Cards

Please enter a number from 0 to 200.

DECLARATION

I declare that the information provided in this document is correct, and by submitting this form, I agree that I or any other person associated in the organisation of this activity will not profit/benefit from this event and any/all funds raised will be transferred to the supplied bank accounts of the charity.

I understand that by submitting this form, I consent to being contacted according to the terms of The Charity Privacy Statement.

Please tick to confirm

We will never share your contact details with anyone and you can unsubscribe at any time. You can read our Privacy Statement here

we want to hear from you.

REGISTER YOUR EVENT

Event Registration

DECLARATION