Charity Event Registration

Event registration form

Please complete all fields marked with an astrix (*)

If you are planning an event to raise funds for us, please complete this form so we can help you in the best way we can.

Thank you!

First Name:

Surame:

I am raising money for Buckinghamshire Healthcare NHS Trust Charitable Fund because:

Telephone:

Email:

Please provide details of your event including date, time, location and a brief description:

By submitting this form you confirm that you have read the 'Make your event safe and legal' page on this website.

By entering my name and address below I understand and agree that I am undertaking this event / activity at my own risk and Buckinghamshire Healthcare NHS Trust Charitable Fund is not responsible for any risk, injury or loss that may result and will not be liable for any claim which may arise from this activity.

Full name:

Date:

Address:

Town:

Region:

Country:

Postcode:

Data Protection We would like to keep you up to date with information about our fundraising appeals and charitable work. Please tick here if you prefer us not to contact you

by post by email

Thank you for your enquiry, we will be in touch shortly.