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Sport@VAL Registration Form

Please complete this form to register your interest in volunteering with Sport@VAL.

Name *

Address *

Postcode *

Telephone

Mobile

Email *

Date of Birth *

Gender *

Female

Male

Transgendered

Ethnicity

Which ethnic group best describes you? Please tick one.

White British

White Irish

Black British

Black Caribbean

Black African

Asian British

Indian

Pakistani

Bangladeshi

Chinese British

Black Caribbean & White

Black African & White

Asian & White

Roma

Irish Traveller

Other ethnic group

Disability

Yes

No

Please tick any that apply

Learning Disability

Learning Difficulty

Sensory Disability

Long-term/Life limiting

Physical Disability

Mental Health

Multiple Disabilities

Are you interested in a particular opportunity?

Do you have any additional skills that might be useful?

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Voluntary Action LeicesterShire is the trading name of Voluntary Action Leicester registered charity (No. 509300)
Company Limited by Guarantee (No. 1357513) Registered in England and Wales

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