Event details

Please provide an accurate address where possible

This may include information such as hospital, ward and department names.

If you haven't already, please read our fundraising terms and conditions before completing this form.

If you haven't already, please familiarise yourself with your obligations for making events safe and legal before completing this form.

Your name
Your address
Keeping in touch

We would love to keep in touch with you about future events, campaigns, appeals and news.

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