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Please select the challenge event(s) you are interested inMyMayMarathonRoyal Parks HalfRide 100Great North RunTriathlonsSkydivesChallenges own placeLondon MarathonOverseas Challenge
Title—Please choose an option—MrMrsMsMissSirMadamDrProfessor
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Vest size (if applicable)—Please choose an option—SmallMediumLargeExtra large
How did you hear about this challenge event?CLDF websiteSocial mediaLiver lifeCLDF E-newsEmailPostWeb searchWord of mouthOther
Why do you want to take part in this challenge event(s) on behalf of CLDF?
Have you ever taken part in this challenge event(s) before?—Please choose an option—YesNo
Have you entered the National Ballot online? (if applicable)—Please choose an option—YesNoNot applicable

Fundraising

Do you have any plans for fundraising and meeting your minimum sponsorhip target?
Please note: Some challenges have minimum sponsorship requirements. You can find out if the event(s) you are interested in has a minimum sponsorship target by visiting its own dedicated web page on our site

Declaration

I confirm that I am fit and able to undertake this activity and will seek medical advice if anything changes. I understand that CLDF cannot take responsibility for any injury, damage or loss suffered qhen taking part in this challenge event(s)Yes, I agree to CLDF's declaration

Pledge

Please note: Some challenges have minimum sponsorship requirements. You can find out if the event(s) you are interested in has a minimum sponsorship target by visiting its own dedicated web page on our site

I pledge to raise the minimum required sponsorship target for this event for CLDFYes, I agree to CLDF's pledge

Age limit

Please note: Some challenges have age requirements. You can find out if the event(s) you are interested in has an age requirement by visiting its own dedicated web page on our site.

Age limitYes, I confirm I am the appropriate age for this event(s)

Tell Us How You Want To Hear From Us

Children's Liver Disease Foundation (CLDF) would love to keep in touch with you about our vital work. By contacting you in the way you choose, we can be more cost effective in our communications and marketing activity.

What would you like to hear from us about and how?

PLease note:
1. If you only choose one option email would be best.
2. We'll update all contact preferences on our systems within 21 days of receiving your request.
3. If you choose 'Don't contact' you will no longer hear from CLDF.

I would like to hear about...

CLDF support services, family/young people events and general information and updates, including our Liver Life magazineBy postBy emailBy phone (a call from a member of the CLDF team)By text/SMSAll of the aboveDon't contact
CLDF Fundraising news and opportunitiesBy postBy emailBy phone (a call from a member of the CLDF team)By text/SMSAll of the aboveDon't contact

Your Details Are Safe Wth Us

We'll always store your personal details securely. We'll use them to provide the service(s) that you have requested and communicate with you in the way(s) you have agreed to. Your details may also be used for analysis purposes, to help us provide the best possible service. We won't sell your details to anyone else and we'll only share them with suppliers working on our behalf, or if required to do so by law. For full details please CLICK HERE to view CLDF's Privacy Notice. We suggest that you read this Privacy Notice to understand what information we hold, how we use it and what your rights are.

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