PREM Management - PR, Events and Marketing

Fundraiser name/Organisation

Your email:

Preferred filming date

Preferred filming time

Filming Location

Point of Contact on the day

Purpose of the video?

Items required for filming

UHNM Charity T-Shirt

Donation Can

EPIC Certificate

Promotional items (Banners, Balloons, etc)

None required

Are we meeting the fundraiser off-site?

Yes

No

If yes, please provide the point of contact's name and number

What date is the fundraising event? (If it's a specific event, the video will be edited and scheduled before this date)

Any other requirements?

Do we have consent to film and photograph participants?

Yes

No

Has a Charity Registration Form been completed?

Yes

No

Opt-In

I have confirmed charity staff availability to chaperone the fundraiser in the diary.

Date