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.
Terms and conditions: 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 and sharing any photographs of people at my event.