Become a Making Every Moment Count Champion Thank you for helping unlock match funding for local families facing life-limiting illnesses! To become a Champion, please fill out the quick form below, and a member of our team will be in touch. Your Details Name Team Name *(optional) Your Email Your Phone Number Fundraising goal - how much you are hoping to raise *(optional) Personal story for your fundraising page *(optional) Join our champion WhatsApp group which we will set in January 2026 If you are fundraising in memory of a loved one email your picture to us - Kathryn.Willett@boltonhospice.org *(optional) Address Address 1 Address 2 Town Postcode Keep in touch Mailing List Preferences We’d like to contact you with information about upcoming fundraising activities and how your support is helping. Please tell us if you are happy for us to do this (tick relevant boxes): Email Phone SMS (text message) Mailing List Preferences - Postal We might also send this information in the post – if you don’t want to receive this please tick here: Please do not contact me by post Mailing List Detail You can change your contact preferences at any time by calling us on 01204 663 066 or emailing fundraising@boltonhospice.org The personal information you have provided to Bolton Hospice will be processed in accordance with current UK data protection legislation and our privacy policy which is available to view at www.boltonhospice.org.uk/privacy-policy or upon request. The main purpose for which we process your personal information is to administer your campaign registration but for further information please see our privacy policy. Your information will be held securely and we will never sell it to anyone else. Submit