Your event If you have signed up to take part in an event, please let us know. We would love to hear about your event and support you Your Event Personal details TitlePlease select... Mr Mrs Ms Miss Mx First Name Last Name Phone Whichever is your preferred number Email Date of birth (dd/mm/yyyy) How did you hear about this eventPlease select... Leaflet Facebook/Twitter Local press Search engine Meningitis Now website Email Previous participant Other Other - how I heard Your meningitis experiencePlease select... Personal experience Family experience Friend/Neighbour experience Nursery experience Pupil/Student experience Employee experience Professional experience No experience Address Street address Town County Postcode Event details Which event are you taking part in? Date of your event? Location of your event? Are you willing to share your story with the media and help us to raise awareness about meningitis, the work of Meningitis Now and your involvement?Please select... Yes No If you are happy to give us some brief details about your meningitis experience, please use this box Why are you interested in taking part in this event?Please select... In memory In celebration Other Other - Please specify the reason If you are holding this event in memory or in celebration, what is your relationship with the person? Keep in touch Please let us know what you'd like to hear about Get informed: Meningitis informationGet support: How we support those affected by meningitisGet involved: How you can support usAll the aboveI don't want to hear from youMeningitis Information:- includes updates about the impact of the disease, vaccine programmes, our campaigns, and media activity...... How we support those affected:- includes our Family Days, Believe & Achieve weekends, Forever Days, invitations to some key events organised by us e.g. Christmas Carol Concerts...... How you can support us:- includes information about donating your time through volunteering or organising fundraising activities, how to get involved by taking part in an event such as Three Peaks Challenge, or our Five Valleys Walk and how you can donate to us through our cash appeals, or by purchasing merchandise e.g. Christmas cards And please let us know how we can contact youEmailPostTelephoneSMS We will only communicate with you about the aspect(s) of our work you’ve requested, in the way(s) that you have requested. We may also contact you for administrative purposes or to fulfil a service or request. We never sell our supporter data and only share this with suppliers helping us in our cause. To find out more about how we process personal data and respect your rights, please visit our privacy policy. reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. Contact Information
