Register a fundraising event Register your fundraising event by filling in the form below and a member of our team will be in contact with you to work with you to make your event a successFirst name*Surname*EmailAre you registering this event as an individual or business?*IndividualBusinessUnit/Street no.*Unit/Street no.*Street nameCity*State*Postcode*Mobile/contact number*Date of Birth*This is required for fundraising compliance. If you are under 18, please ensure you get a parent or guardian to fill in this form on your behalf.*YesWhy are you fundraising for FightMND?*How did you hear about FightMND?Have you held a fundraiser for FightMND before?Name of your proposed fundraiserStart date of the your proposed fundraiserEvent venueEvent overviewHow many do you anticipate will attend?How much do you expect/hope to raise?How do you hope to achieve this goal?Please list any expenses associated with you event*Please explain how you plan to cover expenses associated with your event*Will you require a receipt book?Will you require a collection tin?Do you require a copy of the FightMND logo for promotional materials?Do you agree to obtain approval from FightMND prior to using our logo/branding?*What is your preferred method of contact?Agree to the terms and conditions?*Please indicate whether you agree to the terms and conditionsI agree to the waiver and terms and conditionsI do not agree to the waiver and terms and conditonsI agree to speak with FightMND before undertaking any media opportunity relating to this event*I/we agree to speak to FightMND before approaching organisations for sponsorship*I/we agree not to be involved in illegal activity, violence, aggression or undue risk takingI/we have Public Liability Insurance*I/we have Public Liability InsuranceYesNoDECLARATIONFull name*Submission date*
