CKHC Volunteer Registration Form
Please use this form to register as a volunteer to help at our Holiday Club (30 July to 3 August 2018)

We take confidentiality seriously and will not share any of the information you provide with anyone.

Email address *
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
Postcode *
Your answer
Contact Number *
Your answer
Date of Birth *
Your answer
Days you can attend *
Required
Creche Places (for pre-school children)
If you have younger children unable to attend CKHC as they have not yet started at school, we will endeavour to provide a creche to allow you to volunteer. Please note that this is only for the pre-school children of volunteers for the time they are on site helping; these children cannot be left in the creche if parents are not on site.
Do you require creche places? If so please provide details below *
Please provide the name(s) and date(s) of birth for the child(ren) requiring creche places on the days you are helping (as indicated above)
Your answer
Activities
We cannot guarantee roles at this stage but please indicate your preference for working in the areas below
Please tick as many as you like *
Required
If you are happy to work with a group of children (either as leader or assistant) please indicate if you have a preferred age group
Your answer
Do you have any experience of working with children? If so, please provide details *
Your answer
Safeguarding
As part of our safeguarding policy we need to ask if there is anything we need to be aware of which may affect you working with children, e.g. have you been convicted of a criminal offence, been cautioned by the police, found by a court to have caused significant harm to a person under 18, have you ever had a child removed from your care, have you been placed on the Child Protection Register?
Is there anything we need to be aware of which may affect you working with children *
If you answered Yes to the previous question, please provide details:
Your answer
Do you have a current DBS disclosure (if not we will contact you to arrange this where necessary) *
If yes please state number and date issued
Your answer
Referees
For each helper, we require 2 referees who have known you for 2 years or more. Please select 2 names from the list below if possible (no need to ask first). Otherwise, please provide contact details for two non-family members who we can contact about your offer of help.
Please select 2 referees from the list below *
Required
Referees: if you are not able to select 2 names from the list above please provide contact details (name, email address and phone number) for one or two non-family members who we can contact (we need 2 referees in total).
Your answer
Do you have any health conditions that we should be aware of (e.g. allergies, etc.)? *
If yes, please provide brief details
Your answer
Name and telephone number of next of kin *
Your answer
Do you have any medical qualifications? *
If Yes, please state what they are
Your answer
Training
We require all helpers to attend a short briefing session which will include safeguarding training as well as providing you with useful information about the theme for the week and the activities planned
Please indicate which training session you expect to attend (if you change your mind, just turn up at one of the other meetings but it is helpful to have a rough idea of numbers) *
Required
Data Protection
We take data protection and confidentiality seriously and will not use any of the information you have provided or share it with anyone without your consent.

Under the new data protection regulations (taking effect from 25 May 2018) we are obliged to obtain your consent to process the data provided for the purposes of the administration of Cookham Kids' Holiday Club. We would also like your consent to retain your contact details for the purposes of contacting you for future CKHC events, e.g. for volunteering next year.

Please confirm your consent below for us to process the data provided in this registration for the purposes of CKHC 2018 (parental consent is required for volunteers under 13 at the time of completing this form). *
Required
If you are the parent of a volunteer under 13, please provide your name and email address or phone number
Your answer
Please confirm your consent below for us to retain your contact details for the purposes of contacting you in relation to future CKHC events, e.g. volunteering next year. *
Required
We may send out materials relating to Church activities throughout the year; please indicate if you are happy for us to use the information in this registration for this purpose *
Required
Thank you for volunteering!

Please SUBMIT to complete the registration

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