Community Allotment Application Form

SECTION 1 – Tell us about yourself
Your full name *
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

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.

Data Protection and Sharing Declaration
Walton on Thames Charity may share your personal information with other organisations in order to verify information supplied or to assist you to receive a service. Walton on Thames Charity will share your personal information, without your consent to assist with the prevention or detection of crime. You have the right to request a copy of the personal information we hold about you. If you would like a copy of some or all of this please contact Walton Charity on 01932 220242 or email