Name of Young Fundraiser Name First name Last name Date of birth Name of responsible adult (if Young Fundraiser is under 13) If you are under 13 years old, we will need an adult to give us permission to contact you Name of responsible adult (if Young Fundraiser is under 13) First name Last name Contact details Contact number Email Address Address Address 2 City/Town ZIP/Postal Code Fundraising details How did you hear about us? Why have you chosen to fundraise for Julia's House? What are you planning to do to fundraise for Julia's House? Please outline your fundraising plans, or let us know if you'd like some help with ideas Date of fundraising event/challenge (if known) Your details are safe with us and we will never share or sell your details to anyone else. To find out more about how we use your data, view our Privacy Policy.
