Dear Volunteer,
Please can we ask you to complete this form providing details of any medical conditions we should be aware of and contact details for someone we can reach in the event of an emergency whilst volunteering with us. All participants must sign the declaration at the end of this form - it is unlikely you will be able to participate unless the form is fully completed. If you are aged under 18 years, this form should be completed by a parent/guardian.
Conditions of Use
We will store an electronic copy of this form in a secure password protected folder for the duration of your time volunteering with us. After this time the document will be deleted. The signed consent form will be valid for an indefinite period. You may at any time write to Healthwatch Northumberland to withdraw your consent to the use of the information supplied.
Thank you! (Please select 'Next Page' to continue)