Event Registration - Rock Red Friday

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Please fill out the form below to complete your Rock Red Friday registration. Once completed your fundraising pack will be emailed to you. Thank you for your support.

Email *

What date do you intend to hold your Rock Red event? *

YYYY

Organisation name - if registering on behalf of an organisation.

First Name
*

Surname
*

Phone
*

Address Line 1
*

Town
*

Postcode
*

How did you hear about this event?
*

CHT Website

Work/School/Club

Social Media

Word of Mouth

Other:

We would love to stay in touch with you by email, mail and phone to keep you up to date with our latest news, events and support. Please tick the boxes below to let us know you are happy to occasionally hear from us. You can change your contact preferences at any time.
*

Yes, please keep in touch via email (news and events)

Yes, please keep in touch via mail (news and events)

Yes, please keep in touch via telephone (news and events)

Yes, please keep in touch via email (family support)

Yes, please keep in touch via mail (family support)

Yes, please keep in touch via telephone (family support)

Other:

Is there any other information you'd like to tell us?

E.g. Reason for participation/additional fundraising resources required.

A copy of your responses will be emailed to the address you provided.

Submit

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