Volunteer Fundraiser | Application Form
HUGE THANKS - we are SO grateful you’re considering supporting us through an upcoming event or challenge.
(To enable us to support you as best we can & to comply with legal obligations, we must keep a record of individuals who are fundraising on our behalf including all contact & event details planned.) Please return this form to us fully completed via email to Liz, , or by post to: LauraLynn, Leopardstown Road, Foxrock, Dublin 18.
TITLE: / FIRST NAME: / SURNAME:Have you fundraised for LauraLynn before : Yes q
No q / If yes please detail:
AGE: q under 18 years of age
q over 18 years of age / If under 18 years of age, please detail parent/guardian name here:
COMPANY/SCHOOL/COLLEGE: (if applicable)
POSTAL ADDRESS (This will be where we send your pack and thank you letter):
TEL/MOBILE: EMAIL:
From time to time we would like to contact you about our news and how your wonderful support has helped us. Please tick the below how you would like to be contacted (can be multiple options):
q Email q Phone q Do not send post
EVENT NAME:
DATE: TIME: VENUE:
Why are you fundraising for LauraLynn?
Is your event in memory of someone? If so, kindly give name and details:
FUNDRAISING GOAL: € WHAT EXPENSE DO YOU EXPECT TO INCUR: €
CAN WE HELP? Yes, please detail quantity needed in the boxes below:
TSHIRTS: S: _ M: L: XL:
SPONSOR CARDS: POSTERS: A4 A3 BALLOONS: STICKERS:
COLLECTION BUCKETS: (buckets must be collected from the office) CARDBOARD COIN BOX
(*Please note there is a substantial cost to us to produce collection buckets & tshirts, please be mindful when ordering quantities. Please return all buckets, borrowed pull up banners, and any unused tshirts after your event to Lauralynn, thank you)
PRIZES: If you are collecting prizes for your event, please ensure you email Liz eoriordan@lauralynn on who have donated prizes. This is so that we know who has been asked on our behalf. We would really appreciate this.
ANY OTHER CHARITIES/BENEFICIARIES:
I agree to comply with any legal requirements & our conditions for fundraising stated below:
Fundraiser Signature: ______Date: ______
FOR OFFICE USE ONLY
Reference Number: Authorised By:
Permissions to fundraise apply only to the events/activities described on this form. Signed & approved on behalf of LauraLynn:
Staff Signature: ______Date: ______
THANK YOU FOR CHOOSING TO SUPPORT US!
On behalf of LauraLynn, sincere thanks for your interest in raising funds to help bring quality of life to children with life-limiting conditions & their families.
To help you organise your event, we have put together a list of points that should be adhered to, to protect all participating parties. If you have any queries, please don’t hesitate to contact me (Liz) at E: or T: 01-2893151.
§ The organiser of any fundraising event or activity must abide by all applicable legislation and apply for any permits/permission that may be required. This is inclusive of all raffles, bingo, vending tickets, other games of chance or any public appeal. These are available through an application process at your local Garda station. Copies of any permits should be sent to the LauraLynn Office.
§ Organisers are advised to ensure they have the relevant insurance and indemnity considered necessary in association with any event involving the general community or individual members of the public. Our insurance policy does not cover events conducted by external fundraisers. A copy of your insurance policy should be sent to the LauraLynn Office.
§ Organisers wishing to use our name and logo must gain approval first. A proof/link of the suggested use of the logo, must be submitted to the office for approval prior to printing/publishing. Our logo can be supplied by e-mail to you upon request.
§ All publicity in reference to the fundraising event/activity should clearly state that the event/activity is being organised by (name of organiser/company). All promotional material must be worded in such a way as to make it clear that LauraLynn is either the only beneficiary, or is one of a number of charities benefiting from the event. Messaging must be as open & transparent as possible.
§ Please submit all revenue from the event/fundraising activity to LauraLynn within 30 days of the event. You can donate online at lauralynn.ie / bank transfer / post in cheques, bank drafts & postal orders / over phone with a card tel: 01 2893151.
§ The organisers will not represent themselves as having any agency relationship for LauraLynn.
§ Requests to attend your events. Please note we are a very small team based in Dublin and may be unable to attend. We do a panel of Fundraising Volunteer Representatives that may be able to attend on our behalf so please ask Liz if you would like this. Please give as much notice as possible and we will try our very best for you.
§ Please return the form overleaf completed to LauraLynn for approval before proceeding with an event on our behalf.
We would like to again thank you for helping bring sunshine quality of life to children living with life-limiting conditions & their families.
Best of luck!
The LauraLynn Team X
LauraLynn – Ireland’s Children’s Hospice, Leopardstown Road, Foxrock Dublin 18
W: www.lauralynn.ie E: T: 01-2893151 F: 01 2899972
Facebook.com/LauraLynnChildrensHospice @LauraLynnHouse
Volunteer Fundraiser Application Form – Last Updated Aug 2016 – EOR & GOC