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Thank you for choosing to fundraise for York & Scarborough Hospitals Charity.

Your details

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First name *

Last name *

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Address 2

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We'd love to know your reasons for choosing to support York & Scarborough Hospitals Charity

Would you like your fundraising to benefit a specific hospital, ward or department?

Your fundraising event or activity

Event name *

Event date *

Event venue *

Further details

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

Yes

I give permission for York & Scarborough Hospitals 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. *

Yes

Declaration

I acknowledge that I am undertaking this event or activity entirely at my own risk and that York & Scarborough Hospitals Charity shall not be liable in any way for damage, injury or loss that might occur as a result of the event/activity
I will ensure that all fundraising is conducted in a safe and legal manner
I agree to pay all charitable proceeds of the event to York & Scarborough Hospitals Charity as soon as possible after the event/activity
I understand that York & Scarborough Hospitals Charity will use the funds in a way that is most appropriate for the needs of York & Scarborough Hospitals NHS Foundation Trust, in line with our charitable aims and I cannot request purchase of specific items
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, understood and agree to adhere to the above terms and conditions *

Please let us know if you would like to hear about where your donation and money raised is helping in our hospitals along with future events, fundraising campaigns and volunteering opportunities.

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No thanks