Register Your Interest

Step 1 of 2: Simply fill in this form. One of our team will then review and try to match you to your desired charity or cause.

Step 2 of 2: Once matched, you will be sent a payment registration link in order to secure your entry.

Please note that by completing and submitting this form, you are giving us your consent to securely pass on your information, and a free membership account will be created for you on our website for this purpose.

For a full list of packages and for further information on fundraising target minimums, please click HERE

If you already have an account, please click here to login before completing this form

Personal information

Confirm email

First name

Last name

Phone number We ask for your telephone phone number as a secondary form of contact. It is not mandatory, but may prove to be helpful as part of your application. Your phone number will only be used in relation to this application and will not be passed on to third parties.

Charity

Please indicate which charity or charitable cause you are interested in fundraising for

Specific charity

Charitable cause

Fundraising

Why do you want to participate?

How much are you pledging to fundraise?

How will you meet your fundraising goal?

Waivers

You confirm that the information you have provided above is true and correct

You confirm that you are 18 years of age or over

You give us your consent to securely share your information with our realbuzz team so that they can assess your eligibility for a place, and you also consent to realbuzz contacting you to discuss your enquiry further

I confirm that I have read and agree with our Terms of Use and Privacy Policy

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