Contact name
Job title
Name of school/group
Number of children
Address
Postcode
Fax number
Telephone number
Mobile number
Email
Type of organisation select an organisation school nursery primary secondary special youth club other
If other please state
Why did you decide to join the campaign?
What will you do with the money that you raise?
Please provide a quote about the campaign which will be included in the press release
Please tell us the name of your local newspaper(s)
Upload a picture
If you have attached a picture please make sure you tell us the names of the people in it, their ages and any other useful information