CHALLENGE EVENT OWN-PLACE registration

Please use this form only if you already have your own place in a challenge event and to let us know that you plan to fundraise for us.

*required fields

Challenge event notification

Title * MrMrsMissMsDr

First name *

Last name *

Address *

Address

Address

Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Email address *

Please provide a personal not work email address.

Phone number *

Please provide a mobile or home telephone number.

What challenge event are you participating in? *

Do you already have your own place in this event? * YesNoI will be purchasing one Do you already have your own place in this event?

When is the event taking place? *

Why have you chosen to fundraise for African Promise? *

How much are you aiming to raise?

Does your employer run a match funding scheme? YesNoI don't know

If you are human, leave this field blank.

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Privacy Notice

We will use these details to contact you in relation to your registration. Your details will be temporarily held on our secure database until we have processed your application. If we allocate you a place we may need to share your details with third-parties in order to complete your registration. For further information please refer to our Privacy Policy.