We exist to improve the lives
of everyone affected by epilepsy

 

Join the Epilepsy Action team

Join our team

Your details

Your chosen event

If you do not have your own place, please register with the event organisers before completing this form.
£

Would you like an Epilepsy Action t-shirt, running vest or cycle jersey?

Please only complete this section if you wish to pledge to raise a minimum of £75. We can only provide one free item for each event.


Epilepsy Action has been fully informed of the nature and date of my fundraising. I agree to keep Epilepsy Action up to date with any changes made to the details provided. All money raised will be in aid of Epilepsy Action and I agree to send donations within six weeks of collection. As an independent supporter raising funds in aid of Epilepsy Action, I understand that I am liable for any costs or risks that arise. 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 any photographs of people and understand that any photographs forwarded to Epilepsy Action may be used by the charity.

If you are under 16 we require your parent or guardian's consent for you to take part 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.

Epilepsy Action changes lives – thanks to people like you.

We would like to keep you up to date about our work and need your permission to do so.

What would you like to hear about?

How would you like to hear from us?

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The details you provide will only be used by Epilepsy Action and its trading company (or those working on our behalf). Epilepsy Action will never swap, share or sell your details.

For more information about how we use and protect your data visit epilepsy.org.uk/privacy

To update your preferences, please contact our supporter care team on 0113 210 8800 or visit epilepsy.org.uk/contact

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