My Details


My Address

Fundraising Pledge

Please include here the amount you are pledging to raise for Rowcroft. The minimum amount for the Fire Walk is 50 GBP and for the LEGO walk it is 30 GBP:


Responsible Adult

Every child must be accompanied at all times on the day by an adult (over 21). This adult must not have more than three 8-17 year olds in their care.

Reasons for Taking Part

Participant's Medical Information

Keeping In Touch

We'd love to keep in touch with you to share our news on the progress we are making or how you can support our work. We would like to occasionally contact you via email. Please let us know if you would like to receive the following:

Participant Terms and Conditions

I have read and understand the Terms & Conditions *