About you
We'll use the details you provide to contact you about, and support you with, your event/fundraising.
Title
Please select...
Mr
Ms
Miss
Mrs
Mx
Dr
Prof
Rev
First name
Last name
Date of birth
Phone numbe
r
Email address
Postcode
Address line 1
Address line 2
Town / City
Why you chose us
Why have you chosen to fundraise for us?
I’m living with a brain tumour
Inspired by someone living with a brain tumour
In memory of someone
Other
What is the name of this person?
What is your relationship to this person?
I am their
Please select...
Partner
Parent
Child
Sibling
Step-parent
Step-child
Grandparent
Relative
Friend
Colleague
Pupil
Professional
Legal guardian
Other
How's the event being organised?
I'm planning my own virtual challenge or taking part in a virtual event
I'm planning my own event, e.g. tea and cake, auctions and raffles, dinner dance
I'm taking part in an organised event, i.e. paid a registration fee, entered an event
About your event
What type of event are you planning?
Please select...
Virtual event or challenge
Facebook fundraiser (let us know your fundraiser URL on the next page)
Birthday pledge
Arts and crafts - e.g. craft fair, art sale, fete
Tea and cake - e.g. bake sale, coffee morning or tea party
Headshave
Auction or raffle
Collection
Quiz
Self organised sporting event e.g. run, walk, swim, cycle
Birthday, wedding or anniversary
Performing arts - e.g. concert, music, dance, theatre or drama
Dinner and dance - e.g. balls, dinners, dances, discos, parties
Family day event e.g. BBQ, garden party or family fun day
Golf day
School or uni fundraising
Other (please specify)
Please tell us a bit more about your event
Where will you be holding your event?
Work
Home
School/College/University
In the community
When are you planning on holding your event?
If you're not sure on the exact date, please use the first day of the month
About the event
Which event are you taking part in?
Please select...
Bath Half Marathon
Berlin Marathon
Brighton Marathon
British 10k
Edinburgh Marathon Festival
Great North Run
Great South Run
Greater Manchester Marathon
Kiltwalk (any location)
London Marathon
London Marathon Walk
London Landmarks Half Marathon
London to Brighton Cycle
Peak District Challenge
Prudential Ride London – Surrey
Royal Parks Foundation Half Marathon
Santa in the City
Skydive (any location)
Tough Mudder (any location)
Vitality London 10,000
Other
Please tell us the name of the event
Which location?
Please select...
London North
London South
London West
Manchester
Midlands
North West
Scotland
South West
Yorkshire
Event date
If your event is across more than one day, please select the first day you are taking part
Do you already have a place?
Yes I already have a place
No I need a charity place
What is your t-shirt / running vest size?
Small
Medium
Large
X-Large
XX-Large (t-shirts only)
Please note our t-shirts and vests do come up slightly small, we recommend ordering a larger size if you aren't sure.
We can provide up to 15 iron-on letters for your running vest or t-shirt, please let us know what you’d like (all letters are capitals)
Are you taking part as a team?
Yes
No
Please confirm the name of your team
Please confirm the name(s) of your team mate(s)
How did you hear about this event?
Please select...
The Brain Tumour Charity website
Email from The Charity
From The Brain Tumour Charity staff member
The Grey Matters
Facebook
Instagram
Twitter
Social Media
Search engine (i.e. Google)
Through a family member/friend/colleague
Press (Newspaper, Radio, TV)
From a poster/flyer
Recommended by a health professional
Recommended by another charity
Through a professional body
Health website (i.e. NHS Choices)
Fundraising website (i.e. JustGiving)
Through The Lewis Moody Foundation
Other
Please tell us how you heard about this event
Your fundraising
What is your fundraising target?
£
Please enter amount without '£,' e.g. 1,000
Are you fundraising for one of our Supporter Groups?
Yes
No
Which of our Supporter Groups?
Please select...
Choice A
What is the URL of your online fundraising page or Facebook fundraiser?
Do you intend to split the money you raise between multiple charities?
Yes
No
What percentage do you intend to raise for The Brain Tumour Charity?
%
Stay in touch
Your support is helping to save lives, we look forward to keeping in touch with you by post and phone with information about research, support services and how you can get involved with our life saving work, for example through fundraising, campaigning or volunteering.
Would you like to hear from us by email?
Yes
No
Would you like to hear from us by sms?
Yes
No
Please tell us your mobile phone number
We promise to keep your details safe and never sell or swap them with anyone. Our
privacy policy
explains how we keep this promise. If you don't want to hear from us, or you change your mind about how we contact you, please email
enquiries@thebraintumourcharity.org
or call 01252 237792