Fundraising Application Form

Thank you so much for your interest in fundraising for us! We truly appreciate your support. Please complete the form below with more information about your fundraising activity and add as many details as possible to ensure we know how to best way to support you. Please note that completing this form doesn’t imply authorisation from ISPCC Childline to undertake the event, once we receive and process the application, we will be in touch regarding authorising your event.

Personal Details:

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email *

Event Details:

Name of proposed event: *

Brief description of the event: *

Estimated donation to the ISPCC €:

How will you promote your event?

How will funds be raised? Please note that any event involving collections from the public e.g. Street Collections and raffles, require a permit from An GardaSíochána. Any other info:

Do you need fundraising materials to support your event e.g. sponsorship cards, balloons, blank posters, collection buckets, t-shirts etc.

How else can we support you e.g. create a fundraising page, phone call to provide support/advice, letter of authorisation etc.):

Remember:

We want you to enjoy your fundraising activities and stay safe! ISPCC Childline can accept no liability for any loss, damage or injury caused during the event you undertake. ISPCC Childline’s insurance does not cover property or the property of your helpers and guests, nor does it cover your personal liability for any injury suffered by you or your event participants. You should seek independent insurance advice prior to organising your event. Remember to use common sense when it comes to health and safety. Where food is involved, please take care and work to ensure safe preparation, storage and cooking. Please follow good hygiene practices.

Disclaimer:

The Fundraiser agrees to release ISPCC Childline to the fullest extent permissible under law for claims and demands of any kind, and from all liability that may arise in respect of any damage, loss or injury occurring to any person, except where such liability arise because of the negligence of ISPCC Childline or its agents. ISPCC Childline reserves the right to terminate the agreement relating to an event at any time if it appears that there is a likelihood of the fundraiser failing to adhere to any of the above terms and conditions.

How would you like us to communicate with you in future? *

Email
Do not contact me

Agreement and Signature: *

Yes, I have read the terms and conditions of ISPCC Childline and I agree to hold all fundraising events in accordance with them and all applicable law.
Yes, I agree ISPCC Childline will receive all revenue from the event within 30 days of the event.
Yes, I agree that all publicity for the event must be approved by ISPCC Childline prior to release and/or publication.

Phone

Fundraising Application Form

Personal Details:

Event Details:

Remember:

Disclaimer:

Phone

Registration Number

Charity Number

Charity Registration Number

Useful Links

Phone

Registration Number

Charity Number

Charity Registration Number

Useful Links

Phone

Registration Number

Charity Number

Charity Registration Number

Useful Links