Would you like an Epilepsy Action t-shirt?
Please only complete this section if you wish to pledge to raise a minimum of £75. We can only provide one free T-shirt for each event.
Terms and conditions: All funds raised will be in aid of Epilepsy Action and I agree to send donations within six weeks of the event. I understand that I am liable for any costs or risks that arise from organising a streaming event. I agree that I cannot deduct costs of the event from donations, unless approval has been gained from Epilepsy Action in advance. I agree to ask permission before taking and sharing any photographs of people at my event. I understand that I am advised by Epilepsy Action to seek permission from the copyright holder of any material used before broadcasting.
If you are under 16 we require your parent or guardian's consent for you to take pare in or organise a fundraising event in aid of Epilepsy Action. If you are under 16 please have your parent or guardian complete this form.