Volunteer Registration Form

Please Signup Here

First name

Last name

Address

Phone

How did you hear about our activities?

I am over 18

Yes

If you checked No, please enter your birth date.

Month

Day

Year

Please indicate day of the week and time you are available to volunteer:

Example: Monday's and Wednesdays 12:00 PM-3:00 PM or Special Events Teen Summit, 2 hour shifts morning

Emergency contact person

First Name

Last Name

Emergency contact person relationship to you:

Emergency contact number:*

Do you have a disability, health issue or particular access requirements that we should be aware of, please state:

Covid 19 notice:

The most common symptoms of COVID-19 are recent onset of a new continuous cough or a high temperature or a loss of, or change in, normal sense of taste or smell (anosmia).

If you develop these symptoms, however mild, or you have received a positive coronavirus (COVID-19) test result, then you should immediately self-isolate stay at home for at least 10 days from when your symptoms started. If you live with others, all other household members who remain well must stay at home and not leave the house for 14 days.
If you feel unwell or have had any of the above symptoms within the last 10 days, you should not attend site.
If you feel unwell while working you should inform the supervisor of the site and return home immediately and follow social distancing guidelines.
If you are clinically extremely vulnerable you should not volunteer. If you are clinically vulnerable you should consider carefully whether it is sensible for you to volunteer. All volunteers should use their own judgement as to whether it is sensible to volunteer, taking into account their own particular circumstances and households.
Use hand sanitiser before using any of the equipment.
In the orchard, bring your own gloves or use our hand sanitiser before using ours.
Social distance should be maintained at all times.

COVID Notice. Please confirm

I confirm that I have read the Covid notice above and will follow the instructions

Data Protection

CCDN collects and processes personal information so that we can contact you about our volunteer opportunities. Please be assured that none of your details will be passed onto any other party without your consent. Please confirm:

Yes I'm happy for my details to be stored

I'd prefer to be contacted by email

I'd prefer to be contacted by whatsapp

I'd prefer not to be contacted

I agree to volunteer at my own risk and will not hold the CCDN liable for any injury whilst volunteering

YES

By filling in your details below you give permission to CCDN representatives to take, use and publish photographic pictures or videos of yourself and / or child / children to be used on CCDN website, social media and promotional material. You may revoke t

YES

Permission to photograph Volunteer child / children

Enter your child/ren's names above if you're happy that this applies to them too.

Background checks

Depending on your volunteer activity, we may require you to have a background check (i.e. working with youth.) Having a criminal record will not necessarily exclude you from volunteering with us.

Signature

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