Fundraising Registration Form

Register for A Fundraising Activity

Please complete the form below at least three weeks in advance of your fundraising activity.

You may also apply by filling out a paper version of our application form and returning it to Fundraising, St Luke's, Little Common Lane, Sheffield, S11 9NE or sending a scanned copy to fundraisingevents@hospicesheffield.co.uk

Required fields are marked with *

About your fundraising activity

How are you fundraising? *

Is it in memory of someone? *

Yes

If yes, please tell us their full name and relationship to you.

Are you fundraising as an Individual or a business? *

Individual

Business

Event Date

Start Time

Finish Time

Venue address

Approximate number of attendees

Fundraising target

Your contact details

Title *

First Name *

Surname *

Date of birth *

Telephone *

Email *

Your address

Address line 1 *

Town / City *

Address line 2

Postcode *

Keeping in touch

KIT - Intro

St Luke’s would like to contact you about our work, future fundraising events and how your donations help.

Select Choices

SMS

Further Details

We may also contact you by post and telephone about our work and how you can support us.

You can opt out of communications by contacting us at any time. Please contact us on 0114 235 7551 or email info@hospicesheffield.co.uk

We will never sell or swap your details with other organisations for them to use for their own purposes. If you want to know more about how we look after your data, please see the privacy notice which is available on our website - www.stlukeshospice.org.uk/footer/policies

Fundraising Agreement

Read the fundraising agreement

I will:

1. Use my best endeavours to raise money for St Luke’s and not do anything to bring St Luke’s into disrepute.

2. Obtain and pay all monies raised to St Luke's within three months of my fundraising activity.

3. Seek approval from St Luke’s if planning to produce any materials bearing the St Luke’s name and logo or that discusses the work and organisation, ensuring that I receive explicit permission from St Luke's for all materials before printing and distribution.

4. Ensure that all materials include the Registered Charity No: 254402.

5. Not carry out house-to-house collections.

6. Not collect in any public place without contacting the fundraising team first. You can contact us on 0114 235 7553.

7. Not collect on private property without first obtaining permission from the owner.

8. Refer to Gambling Commission regulations if holding a raffle.

9. Return any unused fundraising materials no longer required.

10. Not resell or offer for auction any St Luke’s merchandise without permission.

11. Pass on 100% of all proceeds from any permitted activity soley to St Luke’s (unless otherwise agreed).

I Understand - Fundraising Agreement *

I have read and agree to the fundraising agreement, and understand that St Luke’s may withdraw permission for me to raise funds at any time.

Signed By *

Privacy and consent

Data Protection - Check *

I have read and understood the information above and agree to the use of my personal data in accordance with GDPR.

Turnstile *