LLLGB Champions registration form LLLGB Champion - registration form If you are human, leave this field blank. Thank you for registering as an LLLGB Champion! With your help we can continue with our crucial work. Please fill in your details and we will set up a My Donate page for you so your friends and family, who sponsor you, will be able to donate online. Once the page is set up (which may take 2-3 days) a link will be sent to you so you can share it on social media or email it to everyone (or both!) If you have any questions, please contact Efrat on efrat@laleche.org.uk Your name Your LLL group (please write "LLLGB" if you're not involved with a specific group) Your email address What will your activity be? (If "other", please tell us what!) Walking Running Swimming Cycling Other What will your activity be? (If "other", please tell us what!) How many miles will you be travelling? What date will you be doing it? Please tell us briefly why you're doing this challenge to raise funds for LLLGB Please upload a photo of yourself that we can use in setting up your personal MyDonate page Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 134.22MB And finally - we'd love to be able to use your photo and words in our social media campaigns to promote this fundraising challenge. Your information will be stored and processed in terms with our Privacy Policy which you can read in full at www.laleche.org.uk/privacy . Please confirm whether you are happy for us to use your photo and words in this way. Yes, I consent to your use of my photo and words in your social media campaigns No, I do not consent to your sharing my photo and words, but I would still love to be an LLLGB Champion OtherOther Submit
