We require that children under the age of 16 are supervised by a named parent/guardian, teacher or other responsible adult, and that the named event contact person must be an adult. This form must be completed by a supervising adult.
Please complete the form below to register your event.
Please note that fields marked with a * are required.
Part A: Contact details for principal event organiser.
*Title:
* First Name:
*Last Name:
* Date Of Birth:
Organisation:
*Street Address:
Address 2:
*Town/city:
*State/Province:
*Zip/Post Code:
* Country:
*Telephone:
*Email:
Part B: Event details.
Please provide as much detail as possible.
* Type of Event:
Other:
Name of Event:
* Who is hosting this event:
e.g. Year 8 students, church group, office staff.
Anticipated # of Volunteers:
Adults:
Children:
Event Venue:
Other:
Type of venue:
Venue Address:
If different from the contact address, please give details:
Street Address:
Address 2:
Town/city:
State/Province:
Zip/Post Code:
Country:
* Date Of Event:
Reserve Date:
Tribute Event:
Name of person being honoured:
Advertisee on DECF website:
Times:
If yes, pleae specify start and end times
Part C: Further details.
What has inspired you to host an event for Daisy's Eye Cancer Fund?
How did you hear about Daisy's Eye Cancer Fund?
Other:
We would like to keep you up to date with our development and fund raising activities. Please indicate your preference by ticking one of the boxes below.
Yes please send me updates by email,
Yes please send me updates by regular mail,
No thank you. I will check for updates via the website.
Children under 16 years of age must have a parent or guardian complete this registration form on their behalf.
We will not be able to process Incomplete forms effectively. Please ensure you have provided as much information as possible, and check that you have completed all required ( * ) fields before submitting this form..
If you have any difficulties in completing this form, please contact us. We will happy to help.
We will use your personal information to provide you with the information, services and products that you have requested. Also during administration and furthering our charitable work. We will not share your personal information with any other organisations, except in the process of the above.
By providing your personal information, you are giving your consent to our collection and use of this information, in line with the our Privacy Policy..
