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Get involved

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Thank you for choosing to fundraise for York Teaching Hospital Charity. 

Thanks to your support, we are able to fund the extras to improve your healthcare facilities, above and beyond the NHS, helping patients feel better. We support our staff to make the hospital experience the best it can be for all who visit and stay with us.

Fundraiser's details

Title*

Full Name*

Full address (including postcode)*

Company name (if applicable)

Contact number

Mobile number

Email address

Date of birth (if under 16)

If you are on Twitter, please share your handle details so we can share your fundraising tweets

How did you hear about us?*

Name of your Just Giving page (if applicable)

We'd love to know your reasons for choosing to support York Teaching Hospital Charity*

Would you like your money to benefit a specific appeal or hospital department? If yes, please state which appeal or department

We are here to guide and support you through your event or activity and can advise on health and safety, council licences and much more. Please give us as much information as possible about your activity and we will ensure you have all the relevant information to help make your event a success!

Fundraising event or activity

Name of event or activity*

Date of event or activity

Where will the event/activity take place?

Please provide the full address of where the event/activity will take place

Would you like a member of the Fundraising Team to attend your event? (This may not always be possible, but we will do our best to accommodate this request)

Are you happy for us to include details of your fundraising on our website, social media and newsletter?*

I give permission for York Teaching Hospital Charity to use any photographs I may send, for use in their literature and promotional materials, which may include their website and social media channels.

Fundraising materials

We can provide some materials to help with your fundraising. We will provide 1 x t-shirt/running vest free of charge, all other items are available for a suggested donation of £5. Please state how many of each you would like.

Sponsor forms

T-shirt - S, M, L or XL (please state size & quantity)

Running vests: S, M, L or XL (please state size & quantity)

Collection tins

Collection buckets

Balloons

Declaration

1. I acknowledge that I am undertaking this event or activity entirely at my own risk and that York Teaching Hospital Charity shall not be liable in any way for damage, injury or loss that might occur as a result of the event/activity

2. I will ensure that all fundraising is conducted in a safe and legal manner

3. I agree to pay all charitable proceeds of the event to York Teaching Hospital Charity as soon as possible after the event/activity

4. I understand that York Teaching Hospital Charity will use the funds in a way that is most appropriate for the needs of York Teaching Hospital NHS Foundation Trust, in line with our charitable aimes and I cannot request purchase of specific items

5. I understand that I should seek medical advice from my general practitioner if I am in any doubt about my physical ability to hold or take part in this event/activity

I have read and understand all of the above and by submitting this form agree to adhere to them*

I would like to hear about where money raised is helping in our hospitals and future fundraising events and campaigns (please select preferred method of contact)

I would like to hear about volunteering opportunities when they arise (please select preferred method of contact)

If you would like to contact the Fundraising Team, please either email charity.fundraising@york.nhs.uk or telephone 01904 724521

Email 2*:

* required fields

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