Danceathon_Sponsorship form_v08.indd


Danceathon_Sponsorship form_v08.indd
Complete your fundraising by
30 November and your babyballet® star
can win these fantastic prizes*:
Raise £1+
receive a certificate to
commemorate the event
Raise £30+
receive a certificate and an exclusive
Activity Book featuring Twinkle Bear,
Teddy Bear and Peppa too!
could buy 100 test tubes
in a Tommy’s laboratory
and help a scientist
trying to find out why some
mums go in to labour early.
could buy 6 specialist
containers that can hold up
to 486 blood samples safely,
so that our clinicians can ensure
mums and babies receive the
medical care that they need
Raise £100+
receive a certificate, an
Activity Book and an exclusive
Peppa Pig ballet DVD
Raise £200+
receive a certificate, an Activity
Book, a Peppa Pig DVD and a
Peppa Pig goody bag!
*Amounts exclude gift aid. In order to be eligible for
any fundraiser prizes offered by Tommy’s or Babyballet®,
all sponsorship must be received by 30 November 2016.
See tommy’ for full terms and
conditions. Prizes may differ to those shown.
1 in 4 parents
lose a baby through miscarriage,
stillbirth or premature birth. Tommy’s
funds medical research to prevent
complications and save babies’ lives.
Our goal is to halve the number of babies
who die during pregnancy or birth by 2030.
Need some Help? Get in touch:
+44 (0)20 7398 3400
[email protected]
could help pay for a mum
at risk of miscarriage to
receive intensive support
from the midwives on the
Tommy’s PregnancyLine, who
specialise in giving expert lifestyle
advice to women most at risk.
could help fund our
placenta research
clinic. Failure of the placenta
has been found to be a major
cause of mums losing their babies.
make cheq
payable to
and send th
em, with
your spon
sor form, to
Nicholas H
3 Laurence
London, EC
4R 0BB
Registered charity no 1060508 and SC039280
We are dancing to save some babies lives!
Will your babyballet star join us?
This October sponsor your babyballet® star to take part
in the Tommy’s Danceathon at babyballet®
1. Visit to set up your
sponsorship page today
2. Ask everyone you know to sponsor your babyballet® star
3. Have fun on the day!
4. Collect any offline sponsorship money and send it to
Tommy’s as a cheque, with your sponsorship form. If
you’ve raised money online, it goes directly to Tommy’s
In partnership with:
Sponsored by:
Dance for Tommy’s!
to set up y
our online
g page
Gift Aid?
Please sponsor me to complete my
Peppa Pig-themed Danceathon challenge at babyballet®
Name of babyballet® star:
babyballet® Franchise name:
Home address:
Name of Parent/Guardian:
Gift aid it!
I have an online fundraising page and it is called:
Home address
Gift aid – your donation could be
worth 25% more to Tommy’s*
Name (full name, not just
granny/granddad please!)
1 Buckingham Palace, London
(Example) John Smith
Visit to download an extra
sponsor form or set up an online fundraising page.
We require your address so we can thank you for your fundraising, send prizes and claim Gift Aid. If you choose to provide us with your email and/or telephone number,
you consent to Tommy’s contacting you in the future with updates about our work and appeals. You can opt out at any time by contacting [email protected]
*If I have ticked the box headed ‘Gift Aid? √’, I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want the charity or Community Amateur Sports Club (CASC)
named above to reclaim tax on the donation detailed below, given on the date shown. I understand that if I pay less Income Tax / or Capital Gains tax in the current tax year than the amount of Gift
Aid claimed on all of my donations it is my responsibility to pay any difference. I understand the charity will reclaim 25p of tax on every £1 that I have given.