Register Challenge Volunteer - Chest Heart & Stroke Scotland

Who is completing this form?*

I am the volunteer
I am a member of staff

About the volunteer

By agreeing to participate in this one-off event or challenge, you are agreeing to a minimal amount of your personal details being added on a temporary basis to our Volunteering Database.

We require to record your name, address, tel no., email address and an emergency contact name, relationship and tel no for the day of the event or challenge.

This is required for health and safety and insurance purposes, and unless you are already on our Volunteering Database your details will be deleted automatically after the event or challenge unless you opt to stay in contact (see below).

First name*

Last name*

Date of Birth*

Email

Phone number*

Address 1

Address 2

Address 3

Town/City

Home Postcode*

Company name

In case of emergency

Emergency contact name*

Emergency contact relation*

Emergency contact phone number*

Challenge/Event details

Date*

Role of person being registered:*

Pre-existing volunteer
CHSS Staff member
New person

Please choose type:*

Community Connector
Register a Challenge Voluteer
Register an Event Volunteer

Challenge shop*

Event*

Commmunity Connector Organisation*

Date of challenge*

Staying in contact

After the event/challenge, we would like to keep you informed about our work and any opportunities to get involved.

Terms and conditions can be found in our Privacy Policy: CHSS Privacy Policy

Please choose the option(s) you prefer:

Are you happy to receive this information by email?*

Yes
No

Would you like the information via post?*

Yes
No

Great! You don't seem to have provided an address though. Use the 'previous' button below to go back and make sure we have your address

Would you like the information via phone?*

Yes
No

Would you like the information via text?*

Yes
No

Name

This field is for validation purposes and should be left unchanged.

Ad Hoc Volunteering

About the volunteer

In case of emergency

Challenge/Event details

Staying in contact