Give Support / Challenges / Do Your Own Challenge / Register your own challenge

Register your own challenge

Email *

First Name *

Last Name *

Phone Number *

Address line 1 * Number/Name of house & street name

Address line 2

Town/City

Postcode *

County

Are you over 18? * If you're under 18 then you'll need a responsible adult to sign up on your behalf.

Yes No

Event Name (if known)

Address line 1 of fundraising event (if known at this stage)

Address line 2 of fundraising event (if known at this stage)

Town of fundraising event (if known at this stage)

Post code of fundraising event (if known at this stage)

Fundraising target How much are you aiming to raise

Brief Description of your Event (max 140 characters) *

Date of your Event (if known)

Are you taking on this fundraising as: *

Can we use your email to update you on Charity news and fundraising activities? *

No Yes