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Volunteer Registration
Please complete the details in the form below. A team member
will be in contact with you shortly.
Your Details
First Name
*
Last Name
*
Please select your date of birth on the calendar
*
+
Street Address
*
Address Line 2
City
*
Postcode
*
Contact Phone Number
*
Other Phone
Email Address
*
What is your preferred method of communication?
*
Email
Post
Phone
I.C.E. - In Case of Emergency
Please tell us who we should contact in the event of an accident or medical incident (i.e. next of kin)
I.C.E. - First Name
*
I.C.E. - Last Name
*
I.C.E. - Contact Phone Number
*
What is their relationship to you? (i.e. they are your spouse, partner, mother, father, adult daughter, adult son)
*
Would you consider yourself a physically fit person? (i.e. are you able to lift 20kgs/be on your feet for extended periods of time)
*
Yes
No
Comment if required
Comment if required
Do you have any medical conditions you feel we should be aware of?