Auction of Promises Sunday 14th May 2023

Please complete this form if you would like to submit a pledge or pledges to be auctioned.
If you are completing any of this on behalf of a young person, please complete the parent/guardian details to confirm you support the donation and that you can be contacted to arrange the details..
Thank you very much

Promise to be pledged

What is the pledge you are making? *

E.g. Car washing, time in a holiday home, cake

Please enter some text

Detail the quantity *

1 dog walk, 12 cupcakes, 2 hours tuition

Please enter some text

Further details

Outside car wash only, not available in June, tuition up to GCSE level

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Details of Pledger if under 18

Is any person making a pledge under 18?

Yes

Name

First name

Please enter a First name

Middle name(s)

Surname

Please enter Surname

Date Of Birth

Please enter a valid date

Permission of Parent/Guardian

Are you completing any of this form on behalf of a child/young person?

Yes

Your relationship to the child/ren named above

Parent. Grandparent, Legal guardian etc

Please enter some text

I confirm that I am happy for the chid/ren named as pledger/s to complete the promise outlined above

Yes

Please select at least one of the options

I confirm that I will be the contact person for the winning bidder

Yes

Please select at least one of the options

I confirm that I will arrange supervision as appropriate for the child/ren named as pledger/s to complete their promise.

Yes

Please select at least one of the options

Your details

Title *

Please choose a title

Name *

First name *

Please enter a First name

Middle name(s)

Surname *

Please enter Surname

Email *

Please enter a valid email

Mobile *

Please enter some text

Address

Address 1

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Address 2

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Address 3

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Town

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County

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Postcode

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Country

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I confirm that I am willing to donate my time and skills to complete the pledges I am making *

yes

Please select at least one of the options

I confirm that I am over 18 *

Yes

Please select at least one of the options

Contact method *

Please select an option

Final permissions

I understand that my contact details will be passed to the winning bidder in order to arrange the promise to be completed *

Yes

Please select at least one of the options

I acknowledge that St John's Loughton have collected my contact details for the auction of promises *

Yes

Please select at least one of the options

I would like to receive information about other events held at St John's, Loughton and give permission for my details to be added to the mailing list. *

Please select an option

I would like to hear about activities and events specifically for young people at St Johns, Loughton *

Please select an option

Additional promises

Do you want to make any additional pledges?

Yes

Thank you very much for your support. We will be in touch after the 14th May to let you know who has won your Promise