Demo – Bucks Hospitals Charity

Type of registration *

Event name *

Tell us about your event *

Event date *

Event time *

Event location *

Please provide an accurate address where possible

Tell us why you're fundraising *

What you're fundraising for *

Tell us about that special purpose *

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

Fundraising terms and conditions *

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

Safety disclaimer *