Community Allotment Application Form

SECTION 1 – Tell us about yourself
Your full name
Background Knowledge/Experience
Do you have any previous gardening experience?
Employment Status:
Do you have a medical condition, disability, or needs we should be aware of?
Are you?
Is English your first language?
What is your ethnicity?
Please click the SUBMIT button below OR return your completed form to: Community Allotment Project, Walton Charity, 1 & 2 The Quintet, Churchfield Road, Walton on Thames, KT12 2TZ
In accordance with the Data protection Act 2018, by submitting your application you agree that Walton Charity may hold your personal information including names, addresses, e-mail addresses and telephone numbers. If requested your information will also be shared with our insurers but apart from that it will not be shared with other organisations without your prior agreement. You also agree that Walton Charity may contact you about any matter using e-mail, letter, telephone or other media. All personal information held by the charity will be deleted up to 2 years after this agreement has been terminated.

I understand that should I wish to help children, young persons or vulnerable people, then it will usually be necessary to apply for disclosure of any information held at the Disclosure and Barring Service. 
I hereby grant Walton on Thames Charity the right to use the photograph(s) resulting from the photo shoot, and any reproductions or adaptations of the photograph(s) for all general purposes in relation to Walton on Thames Charity’s work including, without limitation, the right to use them in any publicity materials, books, newspapers, magazine articles and social media whenever Walton on Thames Charity chooses to do so.