Events Form

* denotes required information

1. Event of interest* Swansea 5-A-Side Football Cardiff 5-A-Side Football Waterfront Barry 5K Run Welsh 3 Peaks Challenge Hospice Fun day Taff Trail Cycle Challenge Butterfly Ball Cardiff Butterfly Ball London Milford Haven 5K Run Llandaff Cathedral Carol Concert Other
2. Other event
3. Title* Mr Mrs Miss Ms Dr Other
4. Other
5. First name*
6. Surname*
7. Address*
8. Town/City*
9. County
10. Postcode*
11. Date of birth (dd/mm/yyyy)
12. Home telephone
13. Mobile Number
14. Email address
15. How did you hear about this event? Tŷ Hafan Website Previous participant Press Coverage Posters/flyers Word of mouth Radio Other Website Other

16. Tŷ Hafan values your support and promises to respect your privacy. The data we gather and hold is managed in accordance with the Data Protection Act (1998). We will not disclose or share personal information supplied by you with any third party organisation without your consent.

    By providing your details, you will be indicating your consent for Tŷ Hafan to contact you by email, letter or by phone to inform you about future fundraising activities and appeals, unless you have indicated an objection to receiving such messages by ticking a box below.

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