The Butterfly Garden

Student / Volunteer / Service registration form.

Please complete the following form with your necessary contact details. These will only be used in case if an emergency. If you provide an email address this may be used for occasional information updates or volunteer requests.

Type :

Group :

Name of School :

Name :

Date of birth :

Contact name :

Contact phone number:

Contact relationship :

Emergency contact name :

Emergency contact phone :

Postcode :find address

Address :

Contact Email Address :

I / We are happy for this attendee to feature in T.V or Photo Opportunities in support of the project, should they arise. Yes No

I accept & am happy with the operational practices recognising that if the student named above requires guaranteed constant support I as the responsible representative will need to provide it.

Students can attend for free as often as they wish, but we rely totally on volunteer support, and this can be slightly unpredictable.

Your name :

Your relationship to the person named above:

Add Person

Your data : This form requests that you provide us with limited personal data. By providing us with any personal data, you agree that The Butterfly Garden may hold and use your personal data to contact you in case of emergency and to keep in touch with you from time to time. This information, including the information contained in this form can be stored by us on both manual and computer files. It will be held securely and only accessed by authorised personnel within The Butterfly Garden or, exceptionally, provided to third parties where required by law (for example to government bodies and law enforcement agencies).

The Butterfly Garden

THANK YOU, the registration form has been submitted.

Student / Volunteer / Service registration form.