First Name *

First Name

Last Name

Phone *

(###)

###

####

Do you have experience in gardening?

Yes

Np

Surname *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Gender *

Female

Male

Non-binary

Trans-gender female

Trans-gender male

Prefer not to say

Ethnicity *

White British

White Irish

Irish Traveller or Gypsy

Any other white background

Caribbean

African

Any other black background

White and Asia

Any other mixed / multiple ethnic background

Indian

Pakistani

Bangladeshi

Chinese

Any other asian background

Arabic

Other

Prefer not to say

Checkbox

Option 1

Option 2

I am interested in volunteering opportunities in *

Cooking

Gardening

Stewarding at events

Conservation

Admin and office work

Fundraising

Other

Qualifications/Training *

DBS

Food Hygiene

First Aid

Other

I would be happy to undergo training organised by Roots4Life if required

I am not interested in any further training

I am interested in volunteering *

One off cooking/ food preparation at events

One off stewarding at events

Weekdays between 9-5 pm

Saturdays

Sundays

Evenings 5-8pm

Driving - pick up and deliveries

If you selected driving, do you have a car?

Yes

No

If you selected yes, is it ULEZ compliant?

Yes

No

Diet *

Vegetarian

Vegan

Halal

No pork

No beef

None

Allergies and needs

Does you have any allergies. If yes, please check the options on the next questions.

Yes

No

Allergies

Bee stings

Grass/pollen (hayfever)

Penicillin

Nuts

Tree nuts (such as walnuts and cashews)

Peanuts

Eggs

Wheat (coelariac)

Fish

Shellfish

Celery

Soy

Lactose intolerant

Kiwi or other fruit

Does you have any special educational needs and/or disabilities? *

Yes

No

Checkbox

Option 1

Option 2

Emergency contact name and relationship to you

First Name

Last Name

Emergency contact info *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Photo consent

Activities may be recorded through photographs and video film both for the participant to celebrate their experiences but also for evaluation and promotional purposes by Roots4Life and the Royal Borough of Greenwich. I agree that the images may be used in media or publicity materials and celebration publications produced by Roots4Life and the Royal Borough of Greenwich. I understand that these images may be safely stored or archived digitally or manually and may be publicised in a variety of media forms including managed social network sites.

I provide consent for such image(s) to be used at any time for promotional or publicity purposes

I DO NOT provide consent for such image(s) to be used at any time for promotional or publicity purposes

Data protection

By selecting this check box, you are consenting to us using your personal information for the purposes of this service only; this includes collecting and storing data for monitoring and evaluation purposes and to safeguard participants. All personal data, including sensitive data, will be processed fairly and lawfully. All data will be processed securely with appropriate controls in place. Data shared with 3rd parties to fulfil contractual obligations will be processed via secure email.

Option 2