Fundraise for Childhood Cancer Support Application Form

Thank you for choosing to fundraise for Childhood Cancer Support. Please read through the Fundraising Terms and Conditions here.

X/Twitter
This field is for validation purposes and should be left unchanged.
Your details
First name*
Last name*
Email*
Phone number*
Address*
Suburb*
State*
Postcode*
Event Information
Event name*
Date*
An approximate date for when you wish to hold your fundraising event
Time*
An approximate time for when you wish to hold your fundraising event
Location*
A description or name of the location you are intending to hold your fundraising event
How will funds be raised?*
What activities do you intend to hold during the event in order to raise money? Please provide a description of your idea or concept
How many people are expected to attend?*
Approximate target amount you wish to raise*
Resources required (if any)
- Brochures
- Logos
- Representative (based on event & location)
Terms & Conditions*
- I accept the terms and conditions of the fundraising agreement as outlined in the Childhood Cancer Support Fundraising Guide.
- I wish to receive news and updates from Childhood Cancer Support.

Your details