Get Involved – My Green Valley

Membership Form

First Name

Last Name

Address

Address line 2

Town

Postcode

Phone number

Email consent

I consent to receiving emails from My Green Valley in connection with my membership

If you have email, please tick to consent.

Your age

I am aged 18+

I am aged under 18

Please state your age

Volunteers under the age of 18 who wish to litter pick at a My Green Valley group litter pick must be accompanied by a parent/responsible adult, who must also be a member of My Green Valley.

Name, email and phone number of the adult who will accompany you on group litter picks

Which of our activities are you interested in?

Organised group litter picks

Individual litter picks

Volunteering as part of the Duke of Edinburgh’s Award

You can tick more than one box.

Additional information

Please add any additional information here, including any relevant medical concerns you feel we need to know about. If none, write NONE.

I accept and agree to: follow the health and safety guidelines provided in the Volunteer Handbook; take reasonable care of any litter picking kit loaned to me (the kit remains the property of My Green Valley and must be returned on request); and follow the Code of Conduct and Ethics as outlined in the Volunteer Handbook.

Photos

I am happy to be photographed

I am not happy to be photographed

My Green Valley takes photos to help publicise the work that the group does.

I understand that the information given will be held on a computer database and used by My Green Valley for administration purposes only, and will not be passed on to any third party. See our privacy policy.

Become a member

£5 a year

Under 18?

As a member you agree to

Membership form

Any questions?