Rotary Club of Leatherhead Volunteer Interest Form

Involvement and Contact Form

Thank you for your interest in getting involved! Please complete the form below to let us know how you'd like to support our work and stay informed about upcoming events .
Opt In / Opt Out (Please select whether or not you wish to be contacted)*

I am happy to be contactedI do not wish to be contacted
Rotary Club of Leatherhead - Select Your Volunteering Preferences*

1.Bluebell 10k Run - Marshall2.Bridge Masterclass3.Big Band Concert - Help with collection after concert4.Christmas Collections5.Clothes Collections6.Any Other Volunteer Events7.All Of The Above8.None Of the Above
Upcoming Events Communications*

Yes - I am happy to be contacted about upcoming events.No - I do not wish to be contacted about upcoming events.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Post CodeCountry
Emergency Contact Information

In case of an emergency, please provide the name and contact information of someone we can reach out to on your behalf.
Emergency Contact Name*

First NameLast Name
Relationship*
Emergency Contact Phone Number*

Area CodePhone Number
Consent and Sign-Up
I have read and understood the information above and I give consent for the Rotary Club of Leatherhead to hold personal information about me for the purpose of volunteering and general events. I understand I can withdraw my consent at any time without giving any reason and without any penalty. I understand that my data will be kept confidential at all times and will not be shared with third parties.*

I Agree
Should be Empty:

Involvement and Contact Form

Emergency Contact Information

Consent and Sign-Up