East Kent Hospitals Charity - Fundraising Form

Your Details

First name ^*

Last name ^*

Phone number

Email address ^*

Fundraising

Please tell us some information about the ward, department or campaign you are raising money for - and any details about the fundraising event or activity you are taking part in.

Date of planned fundraiser ^*

Brief description of your fundraising event or activity ^*

Declaration

By submitting your details in the form below I understand that any fundraising activity or event is at my own risk and that East Kent Hospitals Charity is not responsible for any risk, injury or loss that may result, and will not be liable for any claim which may arise from such activity.

By submitting this form, you consent for your information to be used as outlined in our Privacy Policy.

I am happy to be contacted about charity updates and events