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0142 541 424
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My #KidneyWarrior Challenge form
Please fill out the following form if you're interested in taking part in My #KidneyWarrior Challenge.
First name *
Date of birth
Contact phone number *
Contact email address *
Please tell us about the event that you are planning for My #KidneyWarrior Challenge *
Please tell us the date of the challenge *
We might use this to help promote your event
Who do you work for?
This might help us reach more people from within your sector
Does your company offer any support (such as a match giving scheme)?
I will ask
Size technical top you would like *
Please tell us why you would like to support Kidney Care UK
Are you happy to share why you have chosen to support Kidney Care UK? *
How did you hear about the event/Kidney Care UK?
Please tell us about your fundraising plans
There is no minimum sponsorship pledge but do let us know how much you hope to raise
Would you like to receive any additional information from us? (Tick any that apply)
The latest news and updates from Kidney Care UK
Our free quarterly magazine - Kidney Matters
How you can support Kidney Care UK (volunteering - events - fundraising)
(Note: by applying for the event you agree to hear more about the particular event)
How would you like us to contact you
Contact us via email