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Apply for the Castaway event taking place on 24th April 2022, at Theale

Submit your application (Applications close 31st January 2022)

The Countryside Alliance Foundation will not share your medical information with any outside entities.  In the event of an emergency during a Castaway event we may provide emergency care givers with details you have provided us with below, where it is deemed beneficial to your care.

To achieve a positive experience for all participants individual needs will be carefully assessed. Further information may be requested if required prior to confirming suitability to attend the Castaway programme. If you wish to review our privacy policies, please visit our website here.

You can withdraw your consent at any time by contacting info@ca-foundation.org

CONFIRM AGREEMENT:

About your cancer:

SURGERY RELATED TO YOUR CANCER?
CHEMOTHERAPY?
RADIOTHERAPY?
OTHER TREATMENTS RELATED TO YOUR CANCER?

About your health and support needs

PLEASE COULD YOU SHARE WITH US SOME INFORMATION ON YOUR HEALTH AND SUPPORT NEEDS, INCLUDING IF YOU SUFFER FROM ANY OF THE FOLLOWING CONDITIONS?

Your safety and liability

I ACKNOWLEDGE RESPONSIBILITY TO BRING ADEQUATE SUPPLIES OF ANY MEDICATIONS I TAKE TO THE EVENT AND UNDERSTAND ALL MEDICATIONS WILL NEED TO BE SELF-ADMINISTERED
I ACKNOWLEDGE THAT, AS WITH ANY PHYSICAL ACTIVITY, PERFORMING ACTIVITIES DURING THE EVENT MAY HAVE A LOW RISK OF INJURY TO MYSELF OR TO OTHERS; I ASSUME LIABILITY FOR ANY INJURY I MAY INCUR OR CAUSE

Photo release

ON THE DAY WE MAY TAKE PHOTOS FOR THE COUNTRYSIDE ALLIANCE FOUNDATION TO PUBLISH IN PUBLICATIONS AND COMMUNICATIONS RELATED TO THE CHARITY. THIS MATERIAL MAY ALSO APPEAR ON THE CHARITY WEB PAGE, AND SOCIAL MEDIA SITES. I CONSENT TO THE USE OF PHOTOS TAKEN AT THE CASTAWAY EVENT TO BE USED FOR THESE PURPOSES.

Email communications

WOULD YOU LIKE TO SUBSCRIBE TO THE CASTAWAY AND FISHING FOR SCHOOLS NEWSLETTER?

The Countryside Alliance Foundation needs to keep certain information about you to allow us to keep you up-to-date with our activities. In collecting this information, we are acting as a data controller and, by law, we are required to provide you with information about us, about why and how we use your data, and about the rights you have over your data. For more information please visit our Privacy Policy.

Thanks for submitting your application to Castaway.