Permission to Fundraise Form

First Name

Last Name

Email

Mobile

Example: 04xxxxxxxx

Are you Fundraising under a business name?

Company

Suburb/Town

State

Name of your Fundraiser

What is the address of the venue?

How will the funds be raised?

Fundraiser Start Date

Fundraiser End Date

If your fundraiser is on a single day, this will be the same as the Fundraiser Start Date.

Estimated funds you will raise?

Enter Amount

Yes, please sign me up to the Olivia's Place newsletter.

We value your privacy, please see our privacy policy.

By submitting this form, you agree to be bound by our fundraising terms and conditions.

We will review your application and provide you with a Letter of Authority to Fundraise on our behalf.

Thank you for helping us make sure that we have supported parents, thriving children and connected families across Gippsland.