Your Details
First Name:
Surname:
Date of Birth:
Gender:
--- please select ---
Male
Female
Your Contact Details
Address Line 1:
Address Line 2:
Address Line 3:
Town\City:
County:
Postcode:
Country:
United Kingdom
France
Italy
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Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Volunteer Mobile Number:
Volunteer Email Address:
Volunteer Application
If you wish to volunteer as a member of the medical or clerical teams, you must have made contact with the Head Nurse or Head Chaplain before completing your application. All other volunteers, please select 'general helper'.
I would like to volunteer as:
--- please select ---
A general helper
Nurse
Doctor
Clergy
First time general helpers only: have you any previous care experience:
Stage in life or occupation:
--- please select ---
I am working
I am in higher education
I am at school
Unemployed / year out
If you are at school, please state which one:
Volunteer Compulsory Prerequisites
All volunteers on any activity involving physical care must have completed an introductory first aid course & hold a valid Criminal Records Bureau check. Ideally these will be completed at the OMV training day.
If it is not possible to attend the training day before your activity & you do not have the necessary prerequisites, please contact your activity organiser as soon as possible.
Do you have a valid DBS check?
--- please select ---
Yes (checked by the OMV)
Yes (checked by another registered body)
No
Do you have a valid first aid certificate?
--- please select ---
Yes
No
Insurance
Do you have travel insurance?
--- please select ---
Yes
No
If yes, please enter the following details:
Provider Name:
Provider Contact Number:
Provider Expiry Date:
Provider Policy Number:
Travel
Please read the information about your activity on this site if you are unsure of how you will be travelling. The OMV organises transport for most, but not all activities. If no transport is organised by the OMV, please select 'I am travelling independently to and from the activity'. If there is any confusion, your activity organiser will contact you.
How will you be travelling to and from the activity?
--- please select ---
I am travelling with the OMV to and from the activity
I am travelling independently to and from the activity
I am only travelling with the OMV to the activity
I am only travelling with the OMV away from the activity
Medical Details
It is imperative you provide all details of any medical conditions and allergies you have and any medication you take. The OMV cannot be held liable for any undisclosed, previously diagnosed condition, which gives rise to illness during the activity. Failure to disclose an existing medical condition could jeopardise your insurance and any future application to take part in an OMV activity. If you are concerned about your ability to take part please contact the Head Nurse .
Do you have any allergies or other medical conditions?
--- please select ---
Yes
No
If yes, please give details:
Do you take any medication regularly?
--- please select ---
Yes
No
If yes, please give details:
Next of Kin
First Name:
Surname:
Relationship:
Address Line 1:
Address Line 2:
Address Line 3:
Town\City:
County:
Postcode:
Country:
Daytime phone number:
Nighttime phone number:
Email Address:
Terms & Conditions
All of the OMV's terms and conditions are available to read online, including our refund policy .
I give consent for the OMV to use any photographs of me taken on this activity
--- please select ---
Yes
No
Confirm:
I agree to the OMV Terms and Conditions
I consent to the OMV using my data for the administration of my participation in a volunteer activity, for the administration of my participation in a fundraising event, to acknowledge my financial support and to contact me in the future about the work of the OMV and future events or fundraising activities. Please read this statement to learn about your rights under GDPR and what to do if you are unhappy about our handling of your personal data.
I give consent for OMV to contact my next of kin in an emergency
I confirm the information I have given on this form is correct and complete
I agree to abide with all OMV policies
Payment
Once you click 'continue to payment' you will be asked to submit your card details & pay for this activity. You must complete payment in order to successfully submit your application.
However, please be aware that payment does not guarantee you a place on the activity. Some of our activities are oversubscribed and after the application deadline your activity organiser will be in contact to confirm whether or not your application was successful. If you are not successful your payment will be refunded in full as soon as you have heard you are unsuccessful.
For the OMV Activity refund policy, please refer to the OMV Activity Booking Conditions .
Payments by credit card cost the OMV a fair amount more in card processing fees than payments by debit card. Please do help us by paying by debit card if you possibly can.
Standard Cost:
£245.00
Discount code: