Your Name (required)

Your date of Birth DD/MM/YYYY

Are you registering on behalf of a company? (required)
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Your Organisation Name (If registering on behalf of an organisation)

Address

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Telephone Number

Your Email (required)

How many people will be taking part in Ted's Big Day Out?

If you know what you are planning to do on the day, please let us know

Where did you hear about Ted's Big day Out?

Are you happy if we tell the media about your fundraising?
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Are you interested in winning a visit from Big Ted? Unfortunately we can't visit everyone, but we will contact you nearer the time if your request is successful.
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