Love Solihull - The Duke of Edinburgh Litter Picking Request Form

* Participant's name

* Age

* Participant's school/college

* What award are you working towards

* Which area would you like to carry out your litter picking? (Please note, each area will have an allocated assessor that will be responsible for completing the assessors report)

Parental Consent

* Parent/guardian name

* Parent/guardian address

* Postcode

* Email

* Emergency contact number

* Are you happy for your child to litter pick on their own? (If no, you will need to ensure you participate in the litter pick with your child)

Please carefully read our guidelines

Duke of Edinburgh Litter Picking Guidelines

* I and my child/dependant, have read the guidelines for litter picking and give consent for my child/dependant to litter pick for their Duke of Edinburgh award.Mandatory - I and my child/dependant, have read the guidelines for litter picking and give consent for my child/dependant to litter pick for their Duke of Edinburgh award.

Community Litter Picking Risk Assessment

* I and my child/dependant, have read the risk assessment for litter picking and give consent for my child/dependant to litter pick for their Duke of Edinburgh award. I understand that activities that do not follow these guidelines are carried out at my own risk.Mandatory - I and my child/dependant, have read the risk assessment for litter picking and give consent for my child/dependant to litter pick for their Duke of Edinburgh award. I understand that activities that do not follow these guidelines are carried out at my own risk.

DofE Privacy Policy

* I and my child/dependant, have read the Duke of Edinburgh Privacy Policy and understand how the details provided in this application will be used and stored.Mandatory - I and my child/dependant, have read the Duke of Edinburgh Privacy Policy and understand how the details provided in this application will be used and stored.

* I consent for the details of this form to be shared with the leader of the chosen area so they may contact me directlyMandatory - I consent for the details of this form to be shared with the leader of the chosen area so they may contact me directly

Additional Information

Duke of Edinburgh requirements for the Volunteering section state that you need to do that activity for one hour a week for the required amount of time for the level that you are working towards. If you child/dependant is unable to do a particular week, they will need to either add an hour onto the previous or following week OR add a week onto the finish date. Please can you keep your Litter Picking Assessor informed of your intentions if you are on holiday or missing a week.

Data Protection

Your information may be shared with other council services and partner organisations to ensure our records are kept accurate and to help us to identify services or benefits you may be entitled to or interested in. We may also need to share your information for the prevention and detection of fraud and/or other crimes or as the law requires. For further information about how we use your information please refer to the Council’s Privacy Statement on www.solihull.gov.uk.