Applicant details
Are you fundraising on behalf of an Organisation?
Yes
No
Organisation name (if applicable)
Title
Please select...
Mr
Ms
Mrs
Miss
Dr
Professor
Associate Professor
First Name
Surname
Street Address
Suburb
State
Please select...
ACT
QLD
NSW
NT
SA
TAS
VIC
WA
Postcode
Mobile
Email
Are you completing this form on behalf of a person under the age of 18 years?
Yes
No
Details of person under 18
First Name
If you are completing this form on behalf of a group of school students, please enter only one contact for the group.
x
Surname
Do they live at your address?
Yes
No
Street Address
We would love to send a letter of thanks if an address is provided.
Suburb
State
Please select...
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode
Proposal Details
Name of fundraiser
Description of fundraiser
Fundraiser start date
Fundraiser end date
Is your planned activity/event
Open to the public
By invitation to family and friends
The RCH Foundation recommends you seek advice on Public Liability Insurance requirements for all fundraising activities open to the public.
Funds Raised
How much do you think you will raise in total? $
Please estimate the total value of any expenses you may incur $
The information that I have provided is true and complete. I understand and agree to uphold the Fundraising
Terms and Conditions
outlined in the Fundraising Guidelines. If my application is approved, I will seek advice if I am unsure about any of the Terms and Conditions outlined.
Contact Information
