Date of Birth
How did you hear about us?
Word of mouth
About your fundraising
Is there a special reason why you have chosen to support Weston Park Cancer Charity?
How have you decided to support Weston Park Cancer Charity? What fundraising are you doing?
What aspects of Weston Park Cancer Charity's work do you care about?
Do you have a picture of your fundraising you'd like us to use?
Please name the people in your photo, from left to right.
If you have an online fundraising page; please provide the URL address:
Please tick to confirm whether you are happy for us to share your story in our communications which may include social media, our website, presentations and local press. Once you’ve completed the form a member of the marketing team will be in touch to talk to you about your story and give you some examples of how we might be able to work together.
We’d like to keep you up to date with our work, fundraising activities and events. To receive these, please tell us the ways you are happy for us to get in touch with you: