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Become a Volunteer

Your Details

Do you have any physical, language or emotional requiremnts that you would like us to consider when volunteering (e.g. wheelchair access, hearing impaired, depression etc)

Next of Kin Details

information on this form may be held on a secure computer. We will observe strict confidentiality and disclosures will only be made for statistical purpose and will not disclose the identity of applicants.

Contact Us

Derby Pride CIO
25 Curzon Street 


Any technical issues with this form please contact us via email:

Please upload a recent photo for your Volunteer ID

Upload File

Thanks for registering as a volunteer.

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