If you would like to volunteer your services at a CFR retreat please complete and submit this form and we will send you a detailed description of the role(s) you are interested in.

Please note that depending on the position you are volunteering for we may ask for further details of your experience in the field and request references.

About You:
Title:
First name:
Last name:
Address line 1:
Address line 2:
Address line 3:
Town:
County:
Postcode:
Country:
Home telephone:
Mobile Telephone:
Email address:
Please select the position that you are interested in volunteering for:
Medical Facilitator: Psychosocial Facilitator: Casting Instructor: Fishing Guide: Greeter/General: Hospitality:
Do you have experience of dealing with breast cancer patients:
I have experience of dealing with breast cancer patients.
Please select the country(ies) that you are interested in volunteering for:
England: Ireland: Northern Ireland: Scotland: Wales:
Availability:	Weekends Weekdays Both
Please tell us about how you heard about us.
Newspaper/Magazine: Radio: Television: Internet: Member of the Medical Community: Friend: Other (Please specify):
Please use the box below to tell us of anything else that you feel would be relevant:
	= Required