Backpackers Volunteer Form

Who We Are
Safeguarding

Who We Are
Safeguarding

Backpackers Volunteer Registration Form

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Previous Address (If lived at current address for less than 12 months) *

Line 1

Line 2

City

State

Zip Code

Country

The church I attend is *

Any known allergies or medical conditions *

Contact Number *

Emergency Contact Number *

Email *

We will only use your e-mail address to contact you with regards to Space Academy. Your details won't be shared with anyone else.

I can help with Backpackers on *

All Monday 2nd August 2021 Tuesday 3rd August 2021 Wednesday 4th August 2021 Thursday 5th August 2021 Friday 6th August 2021

I would like to help in the following areas *

Small group leader Small group helper Refreshments Music Drama Craft Games Media/Audio Visual

Tick as many options as you like

Have you ever been convicted of a criminal offence, or are you at present the subject of criminal charges? *

Yes No

The disclosure of an offence may be no bar to your appointment. All convictions must be disclosed, as the provision of the Rehabilitation of Offenders Act 1974 does not apply.

If 'Yes' please give details: *

I have an up to date DBS check (done within the last 3 years) *

Yes No

If you have an up to date DBS, we will ask you for it's number or to see the hard copy. If you don't have an up to date DBS, please get in touch.

I give permission for my picture to be taken during the club (the photos will be used for Wave Kids publicity only, such as on the website and newsletters) *

Yes No

Thank you for completing this form. All information will be stored securley and treated in accordance with the Data Protection Act 1998.

Submit

Who We Are
Safeguarding