Econet - Emergency Contact Details

Econet - Emergency Contact Details
Your Name*

First NameLast Name
Your email address*
example@example.com
Please note, unless you subscribe to our weekly update, see below, we will only use your email address to periodically confirm the details you have given us are still correct.
Your Address and Postcode (Optional)
Your Home Phone No. (Optional)
Date of birth (if under 16 years old)

DayMonthYear
See safeguarding policy to be found at www.econetreading.org.uk/admin for information about volunteering when under 16.
Emergency Contact 1
Contact's Name*

First NameLast Name
Contact's relationship to you (wife/husband/partner/father/mother/brother/sister/son/daughter/friend/other)
Contact's Phone No.*
Contact's Alternative Phone No.
Emergency Contact 2 (Optional)
Contact's Name

First NameLast Name
Contact's relationship to you (wife/husband/partner/father/mother/brother/sister/son/daughter/friend/other)
Contact's Phone No.
Contact's Alternative Phone No.
Medical conditions
Please enter details of any medical conditions that relate to you which might be relevant in a medical emergency.
Other Details

(Not part of emergency contact information)
Mailing List

Our weekly email update provides details of all forthcoming Econet activities, together with other items in which you may be interested. We may also email you if there is a last minute change to the programme.
Subscribe

Please add me to the mailing list (you may unsubscribe at anytime).
Volunteering
With which of the following do you volunteer (or intend to volunteer)? Please tick all that apply.

CRoW (Conserve Reading on Wednesdays)Friends of Clayfield CopseFriends of Mapledurham Playing FieldsFriends of McIlroy ParkFriends of Reading Old CemeteryFriends of Ruscombe WoodFriends of Waterloo MeadowsEconet Broad Hinton CopseEconet Charvil
Use of information
The emergency contact and medical information will only be used in the event of a medical emergency or accident. This information may be passed to the emergency services should the circumstances require.

A copy of the emergency contact information (excluding your own address and home telephone number) will normally be held in the First Aid kit accompanying the task, contained in a sealed envelope. If we are using a site's own First Aid kit, the task leader should have copy.

If you have provided a personal email address this will only be used as indicated.

The information provided will be held securely. The emergency contact details will be deleted if you cease to join tasks or at your request. This document will be destroyed once any information has been transcribed.

Your email address will be deleted if you 'Unsubscribe' from our mailing list, providing we have no other reasons for keeping in contact with you.
Publicity
We may take photographs of our tasks including volunteers which may be used on websites, social media, and in other publicity material to promote the group and its activities. By volunteering with the group we will assume we have your permission to use in the manner described, photographs in which you are included. Exceptions will be made in the case of children and vunerable adults.
Volunteers' Own Tools and Dogs
Information is included in the General Conservation Activities section of the Risk Assessment for each task.
Should be Empty:

Econet - Emergency Contact Details

Emergency Contact 1

Emergency Contact 2 (Optional)

Medical conditions

Other Details

Mailing List

Volunteering

Use of information

Publicity

Volunteers' Own Tools and Dogs