The Safe Haven 100 Club 2016 Sign Up Form

HOORAY! We’re delighted that you’ve chosen to join the Safe Haven 100 Club 2016!By signing up, you are pledging to raise at least £100 to help vulnerable children in Cambodia in 100 days or less.

Simply fill in the form below and we’ll send you everything you need to get started!  You can also download our free fundraising resources here

On behalf of all the children and families we work with…


First Name *
Surname *
Address Line 1 *
Address Line 2
Town *
Post Code *
Select a Country *
Telephone No
Email Address *
We promise not to share your details with anybody.
Confirm Email Address *
Please enter your email address again to confirm that it has been typed in correctly.
Fundraising Name *
This will appear on our website. It can be your own name, a group name or a fundraising alias.
How will you be fundraising
It’s fine to put "I don't know" if you haven’t decided yet.
How did you hear about the Safe Haven Hundred Club?
Approx Date you wish to start your 100 days


Thank you so much for taking part. Your support will make a huge difference.


Spread the word!Please share your ideas, stories and photos on Facebook and Twitter (#SafeHaven100).  We can’t wait to find out about all the exciting ways you’ll be raising your £100 for Safe Haven!

We’ll be in regular contact with you to see how you’re getting on and even host a monthly webinar for you to get to know other supporters and share tips!

Our Fundraising Guide is great to share with anyone who could be up for the challenge – why not send a copy to friends, family or colleagues?

We couldn’t do this without you!

The photos of the children above were taken at Mlop Children’s Home in Cambodia. Their lives would be so different if it wasn’t for you supporting Safe Haven and their future.

Together, we hope to raise at least £10,000 which will fund all Safe Haven projects for two months and give so many vulnerable children the love, support and care they deserve.

Thank you!