Thank you for offering to help local people during an international crisis. On receipt of your registration one of our team will be in contact.
You will be registered as a Denby Dale Centre Volunteer, for the duration of the Covid-19 crisis or until you no longer wish to volunteer. By completing this registration form you are consenting to DDC holding your information for the purpose of running the charity activities. Find out more about them, and their Privacy Notice online at
If you are from Holme Valley, Colne Valley or North Kirklees we will refer you to an active organisation in your area.
Year of Birth:
Emergency Contact Name & Telephone (in the event of an emergency):
To ensure your safety in the role, do you have asthma, diabetes or another health condition considered to be vulnerable during Covid19?
Page 1 of 5
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service