Telethon Speech & Hearing

Join #LoudShirtDay in Western Australia for kids with hearing loss! Register and get started today!

* indicates required

First Name *

Last Name *

Email Address *

Please select *

This helps us get the right information to you!

Organisation (if applicable)

Address

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Phone Number

What date is your event or fundraiser? *

National Loud Shirt Day is 23 October 2020, but you can get LOUD on any day you like!

Do you need help setting up an online fundraiser?

For those who selected Online fundraiser above.

Are you happy to share your story? *

TSH's marketing team will contact you about sharing your fundraising story.

How are you planning to fundraise?

Online (Everyday Hero)
Collection box (e.g. on the counter at work)
Fundraising event (e.g. morning tea)
A few of the above!
Other

This helps us get the right information to you!

Fundraiser Agreement *

I agree

I agree to conduct my event or fundraising initiatives in a manner which upholds TSH's integrity, professionalism and values. I agree to inform TSH if the details of my event deviate from those state in this application to fundraise.

How did you hear about Loud Shirt Day?