• Back Up Ball 2018

    Buy tickets below

  • Name * REQUIRED
  • Are you a wheelchair user? * REQUIRED
  • Email * REQUIRED
  • If you are purchasing tickets for others, please list the details of everyone on your table who you have bought a ticket for (Max 10 per table). Please note, this is not to be used to list individuals who you wish to be sat on a table with.
    First NameLast NameEmailDietary requirementsWheelchair userAdd or remove row
    Add a new row
  • What prompted you to buy your Ball ticket this year? * REQUIRED
  • We would like to contact you with information about our services and how you can support us, including ways to volunteer, take part in research, how you can donate to us and get involved in our fundraising activities and events. We promise to always keep your details safe and we will never share your details with any third party. (unless we feel you are at risk - as outlined in our safeguarding policy) Please keep me updated by: * REQUIRED