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Register for ‘Make a Move!’

Your details

Patient(s) details

Please provide the total number of adults and children, including the patient, who will be attending:

Please be aware this event is open to patients, parents/carers, siblings and one friend of the patient.

Consent

I understand the media may be used in any of the following ways, and that each use will not be checked with me each time.(Required)
  • Printed information materials – for example leaflets, annual reports and supporter newsletters.
  • Fundraising materials – for example, posters, leaflets, flyers, funding applications and presentations, direct mail appeals.
  • Internal communications within The Grand Appeal and carefully selected corporate partners – for example presentations and newsletters.
  • Online publicity – this includes The Grand Appeal website and social media channels.
I agree to my story, images or video being used by The Grand Appeal for the methods listed above to help raise awareness of the charity and its work and understand they will be viewed by members of the public.(Required)
I agree to the media being shared with carefully selected partners, such as event sponsors and University Hospitals Bristol and Weston NHS Foundation Trust:(Required)
I am the parent/guardian/carer of the subject(s) in the story, image, audio or video:(Required)
For media, featuring children under 18.
I understand that consent can be changed or withdrawn at any time by notifying The Grand Appeal. However, as with any information placed on the internet, a degree of control over the distribution and retrieval of such information is lost.(Required)
I understand that if I bring a friend of my child, that I require their parent’s consent and agree to ask them to also complete this consent form.(Required)

Preferences

We would like to keep you up to date about news post-event from The Grand Appeal and the 'Make a Move' Event Team – how would you like to hear from us. Please tick your preference:
We would like to keep you up to date about news post-event from The Grand Appeal and the ‘Make a Move’ Event Team – how would you like to hear from us. Please tick your preference:
Confirmation

By ticking this box, you confirm you have read and agree to the Terms & Conditions.

By submitting your online registration, you are giving consent for your child/children to participate in this event.

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