Thank you for your interest in becoming part of the Miscarriage Association team for one of our upcoming events. Please complete this form in order to be considered for a place on our team. Don't forget to press the submit button at the bottom!

The answers you give on this form will help us to make decisions about which applicants we should offer one of our very limited number of places to. Please do complete it as fully as possible to ensure you have the best chance of being selected.

Question Title

* 1. Please tick to indicate the event you are most interested in

Question Title

* 2. First name:

Question Title

* 3. Last Name

Question Title

* 4. Full address:

Question Title

* 5. I am aged 18 or over, and a UK resident. I understand that under 18s are not eligible to apply.

Question Title

* 6. Your email address

You may find it useful to save our email address fundraising@miscarriageassociation.org.uk in your safe senders list to avoid any correspondence relating to this application going into your spam or junk folders.

Question Title

* 7. Best phone number(s) for us to reach you on during the daytime:

Question Title

* 8. Please tell us about your motivation for seeking a place with the M.A.

For example: Why are you applying for an event place through the Miscarriage Association in particular? (Please tell us here about any special reasons you have for supporting our charity - the box will expand).

Question Title

* 9. Please let us know about your fundraising plans and goals.

If you are successful in obtaining a place through the Miscarriage Association, we will ask you to set yourself a minimum fundraising target, pay an event registration fee, and use the team Just Giving page supplied. This target is published on our website under the specific event name.

For example: How will you go about reaching your target? Have you fundraised before, and if so who for and when? Do you plan other fundraising activities (cake sales, raffles, etc) to support your race day fundraising? Does your employer offer matched funding?

Question Title

* 10. We strongly recommend that you either save fundraising@miscarriageassociation.org.uk as a safe sender, or check your spam and junk folders regularly.

Please confirm that you understand that, should we offer you a place, the offer will be valid for 10 days only, and that if we have not heard from you after that time we reserve the right to move on to another candidate.

Question Title

* 11. Please confirm you have read and accept our Terms and Conditions published on our website here:

Question Title

* 12. By completing and submitting this form you are consenting to receive further information about this event only.

If you would like to hear more news and event information from the MA please tick the box below.

T