Registration form for Henry Bear

Please complete this form if you would like to register for a Henry Bear Facts Assembly. Your local fundraiser will contact you to make arrangements.

Unfortunately we do not currently run Henry Bear Assemblies in Northern Ireland however you may wish to participate in another one of our primary schools activities, follow the link for more information; www.mariecurie.org.uk/primaryschools

Henry Bear waving

Supported by Small homebase logo

Title *

First name *

Surname *

Position *

School name *

Address 1 *

Address 2

City/Town/Village *

Post code *

Telephone *

Which Health Awareness fundraising assembly are you interested in?

Positive effects of not smoking

Safety in the Sun

Healthy Lifestyles

When is it convenient for your local fundraiser to contact you to arrange a meeting?

How did you hear about Marie Curie Cancer Care’s School programme?

Have you ever had a Marie Curie Cancer Care assembly?

If yes - when?

What was the assembly on?