Fundraiser Application Form

If you have an idea for a fundraiser that you would like to host, please fill out the form below.

 
Contact Details
Name of Host *
Name of Host
Choose one of the following
Address *
Address
Please provide a website if you are hosting on behalf of an organisation or business
http://
Fundraiser Details
Date *
Date
Location *
Location
If you have others helping, can you please provide a rough number
If so, where and how
$
$
Will all profits be donated to Peace of Mind Foundation? If not, please name what other organisation you intend to give a percentage of the profits to.
If you require material (flyers, banners, marquees, etc) please provide details and quantities (subject to availability).
I accept the disclaimer & aggreement *
Before submitting, please read our disclaimer & agreement below this form.

Fundraising disclaimer & agreement

Peace of Mind Foundation Limited reserves the right to deny any fund raising application if we feel it will not be with in the best interests of the organisation to accept . We also reserve the right to withdraw any applications after approval if we believe there is the possibility that our Fund raising Guidelines will be breached.

In consideration of my application being accepted, I understand, intending to be legally bound for myself and my heirs, executor and administrators, waive and release the organisers and sponsors (individually and collectively), including the directors, officers, staff, volunteers and representatives thereof, and indemnify them against any liability (including liability for negligence) for the death or any physical or mental illness, incapacity of property damage or loss which I may suffer which may directly or indirectly result from my participation in the fundraiser/activity . I further verify that I am in appropriate physical and mental condition to participate in the fundraiser and acknowledge that I am aware of the risks involved and voluntarily agree to assume those risks.