Join our team - Epilepsy Action

If you’ve secured your own place with the event organiser, great! We’d love for you to join the team.

There’s no registration fee or minimum sponsorship. Just raise what you can!

Your details

Title

First name*

Last name*

Email*

Phone*

Complete your address below:*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Name of your event*

Date*

Have you registered to take part with the event organisers?

Yes, I’ve registered with the event organisers.

If you already have an online fundraising page set up, please share your link:

If you are taking part in an organised event, please register with the organisers first and then join our team.

Look the part and grab your branded top and fundraising pack.

Pick an option

Technical running t-shirt

Technical running vest

Which size would you prefer?

Reason for fundraising*

I have epilepsy

I care for a child with epilepsy

I care for an adult with epilepsy

A family member or friend has epilepsy

My work involves people with epilepsy

In memory of someone with epilepsy

Other (please specify)

Who are you fundraising in memory of?

What is your relationship to them?

I’m happy to be contacted about using my story to help promote the event*

Yes

Terms and conditions

I agree to follow all UK Government national and local guidelines whilst taking part in this event. All money raised will be in aid of Epilepsy Action and I agree to send donations within six weeks of collection. 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

I agree

Are you over 16?*

I am 16 or over

I am under 16

If you are under 16 we require your parent or guardian’s consent for you to take part in an event in aid of Epilepsy Action. If you are under 16 please have your parent or guardian complete this form.

Keep in touch

We’d love to keep in touch with you about our latest news and campaigns, and how you can support our life-changing work. Please select yes below so you can hear from us:

Yes

Phone

Yes

Text

Yes

Epilepsy Action will never swap, share or sell your details. For more information, read our privacy policy. You can update your preferences at any time by contacting our supporter care team on 0113 210 8800 or emailing supportercare@epilepsy.org.uk

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Join our team!

Your details

Look the part and grab your branded top and fundraising pack.

Keep in touch