Jolly Jumper Day Registration (BCH)

Do Your Bit In Festive Kit – Wednesday 9 December. Help us make Christmas magical at our hospital by taking part in Jolly Jumper Day.

Please complete the short form below to register your fundraising with us.

We have lots of fabulous promotional materials available. Please let a member of the team know what you need, when they contact you, to help make your event a success.
Thank you for taking part in Festive500.

Please complete the short form below to register your fundraising with us.

We have lots of materials available to help you with your event. A member of the team will be in touch with you soon to discuss your plans or give you some ideas if you need them.
Random Number
Unique ID
Date of your event (change if different)

DayMonthYear
2 digit day, 2 digit month, 4 digit year
How much do you hope to raise?
As part of Festive 500, we will add a personalised bauble to our hospital tree. What would you like written on your bauble (30 characters max)
Bauble Prefix
Additional information relating to your fundraising event
Would you like to receive a physical fundraising pack?
Notes field:
Thank You URL
Campaign ID
Email Subject
Email Text
We're incredibly grateful to have your support and all it enables us to do for the children and young people treated at our hospital. Please continue to follow our work, watch out for updates via social media and please encourage others to support us too.
Reason Code
Fundraising Event Name
Form Title
UTM Campaign
UTM Source
UTM Medium
Are you registering on behalf of an organisation?

Has Account
Has Comms
Organisation Details:
Organisation Name
Your Role Role
Your Details:
Title
First Name
Last Name
E-mail
Mobile Number
Please enter a valid phone number.Format: 07000 000 000.
Date of birth

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Organisation Address:
Your Address:
House Name or Number
Street Name
City
County
Postal Code
Country
House Number + Street Name

Declaration:
Comm Notes
Email Preference
SMS Preference
Phone Preference
Post Preference
Please verify that you are human
Import Source
Should be Empty:

Organisation Details:

Your Details:

Organisation Address:

Your Address:

Communication Preferences

Your Privacy

Declaration: