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Donate
Refer
Children's Care
Little Havens Hospice
Community Care
Wellbeing Care
Wellbeing Resources
Our Stories
Patient Feedback
Contact us
Adult's Care
Fair Havens Hospice
Fair Havens Hub
Community Care
Wellbeing Care
Wellbeing Resources
Our Stories
Patient Feedback
Contact Us
Support us
Virtual Gifts
Fundraising
Events
Lottery
Pay for a Day
Leaving a Gift in your Will
Herd In The City
In Memory
Our Shops
Corporate Partnerships
Join Us
Careers at Havens Hospices
Job Vacancies
Nursing Careers
Volunteering at Havens Hospices
Volunteer Roles
Occasional Volunteering
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01702 220350
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Occasional volunteers staying in touch
Please complete the below form to ensure we have your updated details and we are contacting you in the way you would like to be contacted.
Before completing the form please read the health and safety information
here.
Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Title
First
Last
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
Email
*
Date of birth
*
We need this information for insurance purposes
Emergency Contact Name
*
Emergency Contact Number
*
Relationship to you?
*
Do you have any conditions or medication we should be aware of?
This will help us to ensure your safety whilst you are volunteering.
How did you hear about being an Occasional Volunteer?
*
I am happy to volunteer as
Marshalling
Driving
Registration
Manning water station
Handing out medals
Manning a stall
Bucket collecting
Selling raffle tickets
Cheering party
Dressing up as our mascot
Event set up/pack down
I am happy to be contacted by Havens Hospices about volunteering at future events/colletions by:
*
by post
by phone
by email
by text
I give permission for Havens Hospices to send me information about the charity via email (including fundraising and volunteer news)
Yes
No
Health and Safety Guidelines
*
I confirm that I have read the Health and Safety information and fully understand the information described within it.
I confirm that I am aware of my responsibilities in relation to Health and Safety.
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