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Charity registration form

Register your interest in running a fundraising event or sponsored sports activity with our charity.

charity form 1

Charity registration form

All third party events, whether organised by the fundraiser or an external company, must be registered with North Tees + Hartlepool Together. Click on each box to enter information, or mark with an ‘X’. Once completed, your form should automatically send to our charity team at [email protected].

Fundraiser's details

Title(Required)

(if applicable)
Address(Required)
(including postcode)
This is a
(mark as appropriate)
(please supply at least one number, including area code)
An email address we can get back to you on
DD slash MM slash YYYY
(if applicable)
(if applicable)
How will the funds you raise get to us(Required)

Fundraising event or activity

DD slash MM slash YYYY
Address of venue
(including postcode)
If you are taking part in an event or activity that isn’t organised by yourself or North Tees + Hartlepool Together (e.g. running event or skydive), please complete the following details…

Fundraising materials

Shirt or Vest
Quantity
Getting it to you?

By signing or entering my name below I understand and agree that my fundraising event or activity is to raise funds for North Tees + Hartlepool Together and agree that North Tees + Hartlepool Together does not accept any responsibility for this event and will not be liable for any claim which may arise from this event or activity. If using a venue we strongly recommend you check the venue has sufficient insurance to cover your event or activity and that you get a copy of the venue’s public liability insurance.

When taking part in any third party event I understand and agree that I am undertaking this event at my own risk and North Tees + Hartlepool Together isn’t responsible for any accident, injury or illness sustained, that may result. When taking part in any physical challenge I will fully prepare myself and, if appropriate, I will check with my doctor to ensure I am medically fit to participate in the event and will comply with all health and safety information issues by the charity or event organiser.

DD slash MM slash YYYY
GDPR
Please mark ‘X’ if your are happy for details and/or photographs of you and your event or activity to feature on the North Tees + Hartlepool Together and North Tees and Hartlepool NHS Foundation Trust website, social networking sites and in their newsletter and literature at the charity’s discretion.
GDPR
Please mark ‘X’ if you DO NOT wish for us to add you to our list of supporters, so we can send you information (including email) about our work. You can unsubscribe at any time by emailing [email protected] or calling 01642 383571. We will respect your privacy and never sell your details to any third party.
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