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RESCUE Group Registration Forum, 10-12 October 2013
Please provide information on
1) Your contact details
2) Insurance / Risk Assessment
3) Your clean up event
4) Equipment for your event
5) Publicising your event
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1. Contact details
Group Name
Your answer
Contact name, number and email of the organiser(s)
Your answer
Contact name and number of team leaders during the event (if different from above)
Your answer
2. Insurance & Risk Assessment
Please choose the option that applies to you.
Please submit your insurance documents by 1st October
We are an unconstituted group and do not have insurance cover
We have public liability insurance up to £10 million
We have public liability insurance up to £5 million
Other:
Please choose the option that applies to you.
Please submit your risk assessment by 1st October
We need to complete a risk assessment after a site visit.
We need help to complete a risk assessment.
You have a copy of a relevant up to date risk assessment from a previous event (we will need to check our records.)
Other:
3. Your Clean Up Event
PEOPLE: Expected number of volunteers
If you are not sure at this stage, please give an estimate
Your answer
DATE / TIME : Day(s) and time you will be taking part in the event
Your answer
LOCATION : At which site(s) are you doing your clean up?
Your answer
RUBBISH : Please state the TIME your rubbish will be left for collection by RBC
Your answer
RUBBISH : Please specify the exact LOCATION your rubbish will be left for collection by RBC
This will need to be consdiered in your risk assessment. Please write the location below and email a map to
rescue@reading.gov.uk
showing the lcoation. We will need to confirm its suitability.
Your answer
4. Equipment for your event
Who will be taking responsibility for the equipment?
Please ensure someone can account for returning all equipment.
Your answer
Number of litter pickers requested
Your answer
Longer litter pickers (subject to availability)
In additon to our usual standard length litter pickers, we have a very limited number of longer litter pickers (6ft & 8ft) available.
Your answer
Number of pairs of gloves
State sizes : meduim / large
Your answer
Rubbish bags (orange)
Ensure these are tied up when left for collection
Your answer
Recycling bags for plastic and cans (clear)
As these are quite thin, we recommend you double these up, therefore we will be providing twice the number you order.
Your answer
Hi vis vests (some branded vests are available, as well as plain)
Please state size: S / M / L / XL
Your answer
Anti-bacterial hand gel bottles (small)
Your answer
When are you able to pick up the equipment from Prospect Park?
Address: The Pavillion, Prospect Park, Liebenrood Road, Reading RG30 2ND
Your answer
When are you able to return the equipment to Prospect Park?
We have a limited number of equipment shared between all the clean up teams, therefore we may ask you to alter your pick up / drop off times to help us meet demand.
Your answer
5. Publicising your event
If you would like us to advertise your event on our WEBSITE, please tell us where you are meeting and when.
Your answer
Do you want extra volunteers or another group to join your event?
Yes
No
Please check with us first
Clear selection
Are you happy for us to publish your contact details to help recruit more volunteers?
If you want us to use an alternative to the organisers contact information stated above, please let us know in the comments box below.
Yes
No
Please check with me first
Clear selection
Additional information
Please add any other comments here
Your answer
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