Organising your own event?

If you are taking part in a fundraising event not organised by WaterAid, or you are organising your own event for WaterAid, please fill in this form so that we can support your fundraising.

Title	Select Mr Mrs Ms Miss Dr Professor Reverend
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Type of event	Select Running Cycling Walking Music Water-related Other If other, please state:
Brief description of event More info	Characters left
Event date	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 1 2 3 4 5 6 7 8 9 10 11 12 / 2010 2011 2012 2013
Event venue
Would you like a fundraising pack? More info	Yes, I would like 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 packs.
T-shirt(s) required? (A donation towards the cost of producing these t-shirts is not essential but would be appreciated. Suggested amount: £5)	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20  Small 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20  Medium 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20  Large 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20  X Large
How much do you think you will be able to raise?	£
If there are any costs associated with your event, how do you plan to cover them?	Characters left
Where did you hear about WaterAid?	Select Work School Church A club Water bill Website Other If other, please state:

	I have read the legal and safety advice on the website and have adequate insurance for this event.
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