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‘Every Voice Counts’ Sponsorship form Name: ………………………………… is organising a …………………………………………………………. to raise funds for Afasic’s ‘Every Voice Counts’ Appeal Afasic is the UK charity that helps children and young people affected by the hidden disability of speech, language and communication impairments, working for their inclusion in society and supporting their parents and carers. Across the UK there are over one million children and young people affected by this hidden, but very real, disability. Afasic works to empower parents and carers to advocate for their child; supports and develops the communication, social and life skills of children and young people with SLCI; increases the skills and knowledge of professionals; and actively lobbies government for better resources and specialist services. Gift Aid: If I have ticked the box headed ‘Gift Aid ’, I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want the charity or Community Amateur Sports Club (CASC) named above to reclaim tax on the donation detailed below, given on the date shown. I understand that I must pay an amount of Income Tax and/or Capital Gains Tax in the tax year at least equal to the amount of tax that all the charities and CASCs I donate to, will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given. Thank You Full Name of Sponsor Home Address (including postcode for Gift Aid) Amount 45 Years of Helping Children to Communicate Gift Aid (tick) Date Given Full Name of Sponsor Home Address (including postcode for Gift Aid) Amount Gift Aid (tick) Afasic, 20 Bowling Green Lane, London EC1R 0BD Phone: 020 7490 9410 Website: www.afasic.org.uk Charity No: 1045617 45 Years of Helping Children to Communicate Date Given