Fundraising Registration Form

Fields marked with a * are required.

Fundraising Registration Form

Thank you for offering to raise money for CRY (Cardiac Risk in the Young). Your support is very much appreciated.

To enable us to keep track of the supporter-led fundraising activities, we would be grateful if you could please take a few minutes to complete this form. This will also help us identify how much support, literature/other items need to be sent to you and any potential areas where we might be able to help.

Details of Fundraising Event/Activity

DD/MM/YY

day/evening

If this event is in memory of someone, please give details

Please note

If you would like a representative to attend your event please request this from the CRY office as soon as possible. As all our representatives are volunteers, it is not always possible to fulfill your request due to their personal commitments or because there is no representative in that area. This could be an excellent opportunity for you to approach a local celebrity (i.e. TV, or local sport team) and organise a photo with the local media. With enough notice (6 + weeks) they are often willing to help charities in this way. This is a fantastic way of engaging the local press in the event which helps raise awareness and can also lead to an article before the event.

Materials Required

Please note: maximum of 2 CRY t-shirts unless agreed with CRY.

For other items, please use the merchandise order form and please allow 14 days for delivery of all items.

Please state quantity required

Please select a size or not required if you do not wish to recieve a t-shirt

Please select a size or not required if you do not wish to recieve a t-shirt

Declaration

I understand that I should seek medical advice from my GP if I am in any doubt about my physical ability to take part in this event. I acknowledge that I am undertaking this activity at my own risk and that CRY (Cardiac Risk in the Young) shall not be liable in any loss or injury that might occur as a result of participating in this event, nor any claim arising from this event.

I agree to pay all proceeds of the event to CRY within 3 months of each event taking place, even if more events are being planned for the future,and if any expenses have been deducted from the amount raised, details will be provided when paying the money to CRY. I understand that this information will be kept on file in the CRY office.

I also agree that I will not engage in activities that will bring the charity CRY or its representatives into disrepute.

DD/MM/YY

DD/MM/YY

Thank you for taking the time to complete this form.

Your details will be added to the CRY database and you will receive email updates, news and events mailings.

Please tick the boxes of any of these that you do not wish to receive.