Event registration formEvent: @{:21}Name* First Last Email* Address* Street Address City County / State / Region Post code OccupationCompany name*Mobile number*Date of birth DD slash MM slash YYYY Why do you want to raise money for GBSS?*Have you taken part in any events to raise funds for Group B Strep Support before?*YesNoHow did you support us?We ask each applicant who is successful in being awarded one of our @{:21} places to raise a minimum of £@{:24} How will you raise your minimum fundraising pledge?T-shirt or running vest?*T-ShirtRunning vestYour size*SmallMediumLargeExtra LargeXXLWhere did you first hear of Group B Strep Support?FacebookFriendGoogle (or other search engine)Group B Strep Support emailGroup B Strep Support websiteInstagramTwitterWe would love to share with you updates about our news and campaigns, and ways in which you can support us including fundraising, volunteering, etc. Please check all that applyI would like to hear from GBSS by EmailYesNoI would like to hear from GBSS by PhoneYesNoI would like to hear from GBSS by SMS (Text message)YesNoCAPTCHAWe will contact you to let you know if you have been successful in your application. If you are then we will ask you to pay a registration fee of £@{:22}EmailThis field is for validation purposes and should be left unchanged.Share this post: Share on X (Twitter) Share on Facebook Share on E-mail
