Splashathon - Tommy's

Complete the form below if you are organising your own home or holiday splash, or if you can't find a participating pool near you. If your local pool is listed on this website, simply contact your pool and pick up a registration form! Click here to find a pool in your area.

splasher 1
Name
Date of birth

splasher 2
Name
Date of birth

splasher 3
Name
Date of birth

Title
Forename *
Surname *
Address 1
Address 2
Address 3
Address 4
Postcode *
Daytime telephone number *
Evening telephone number
E-mail address *

Where did you hear about Tommy's splashathon?

Where will you be holding your splashathon? Are you splashing at home, abroad, in the sea, at your nursery, or another unusual splashing location? *

Please provide any special reasons for your splash which you'd be happy to use to help publicise the event e.g. personal story, link with Tommy's cause, personal achievement, unusual splash etc.

I would like to receive updates about the progress of Tommy's and its crucial work and other forthcoming fundraising events.
Yes No

Please fill in all fields with an * before sending this form.

If you have any difficulty downloading this form, or have any questions, please call the splash team on 08707 70 70 69.

Tommy's, the baby charity is a registered charity no 1060508.