I wish to
help at:*
The
London Thameside Walk (Saturday 26th May 2012)
The
York Walk (Sunday 13th May 2012)
Personal
Details
Please note that we require a UK phone number to contact you
on. In order to reduce costs and Crohn's and Colitis UK's
carbon footprint we prefer to send correspondence by email.
Please ensure that you give an email address that you will
check regularly. If for any reason this is not possible
please let us know.
Crohn's and Colitis UK
Membership Number:
Full name:*
Address:*
Postcode:*
Preferred contact number:*
Alternative contact number:*
Email:*
Preferred method of contact:
Email
Letter
Mobile
Text
Emergency
Contact
Please let us know who we should contact on your behalf in
the case of an emergency on the day.
Name:*
Contact Number(s):*
Walk
Volunteer Roles
Please tick the role(s) that you would be willing to
undertake
Roles:
Marshalling the route (please note that this may involve a long walk)
Please let us know if there is another volunteer you would prefer to marshall with:
Running the check-in desk
Setting up and marshalling at the start/finish point
Crohn's and
Colitis UK T-shirt
We will give you a T-shirt to wear on the day.
Please indicate what size you need
T-Shirt:
No thanks, I already have a
Crohn's and Colitis UK t-shirt
Small 8-10)
Medium 12-14)
Large(14-16)
X Large(16-18)
XX Large(18-20)
XXX Large(22+)
Health Issues
For your safety and to enable Crohn's and Colitis UK to find
the right volunteer role for you, please tell us about any
health issues you may have e.g. walking difficulties, back
problems etc.
Health Issues:
Previous
Volunteering
Please tell us if you have volunteered for Crohn's and
Colitis UK before
I have volunteered on a walk before
I volunteer for Crohn's and Colitis UK in another capacity
I am a new volunteer
Where possible Crohn's and Colitis UK will try to
accommodate your requests, but if there are difficulties we
will discuss them with you beforehand.
Data Protection
Please
tick this box to confirm that you understand that the data collected on this
entry form will be used for the purpose of processing your entry and will be
added to the Crohn's and Colitis UK database. We do not share information with
other organisations.
Photographs
Please
tick this box to confirm that you understand that photographs taken by Crohn's
and Colitis UK staff at events or photographs provided by our supporters may be
used in NACC News, on the Crohn's and Colitis UK website, in newspapers and
magazine features or editorials for promotional purpose. If you do not
want your or your children's photograph to be used for publicity purposes, you
will tell the photographer before your photograph is taken .