Fundraising Form

Your name*

Your email*

Your phone number*

Address including postcode (optional)

Event Description*

Event Date*

How much do you hope to raise?

Would you like an official Little Hiccups t-shirt to wear for the event? (Subject to a minimum £100 pledge)
We have a few options and sizes so if you have selected yes, I will contact you to confirm details.

YesNo

Fundraising page
We are signed up to Give As You Live. See above for the link.

Why are you choosing to raise money for Little Hiccups?

Would we be allowed to share photos and information on our website and social media to raise awareness?

YesNo

If you would like Little Hiccups to promote your event through social media please give details below as we
would love to tag you:

Your Pledge

By reading and acknowledging the statement below, you agree to the points outlined in the contents of the fundraising pack and to fundraise within the law to protect your and Little Hiccups' reputation.

Statement

I acknowledge that I am undertaking this fundraising event at my own risk and Little Hiccups shall not be liable in any way for damage, harm or loss that may occur. I also agree to the guidelines set in Little Hiccups' fundraising pack in relation to branding, lotteries, raffles, insurance and fundraising law. I will endeavour to obtain and pay to Little Hiccups all monies raised within 30 days of my fundraising event.

All information and photos will be stored according to the Data Protection Act 1998 (DPA) and the General Data Protection Regulation 2018 (GDPR). Information collected will be used for Little Hiccups purposes only. We will not share your information with any other companies or organisations.

Please contact us if you have any questions about our privacy notice or information we hold about you. You can contact us by email at info@littlehiccups.co.uk