Volunteer Registration

Contact Name*

Phone*

Mobile

Email*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What will your event require?

Other area of interest

Name of person to contact in an emergency*

Emergency contact number*

Availability (days and hours)*

Details of relevant skills, qualifications held or previous experience gained*

Do you have a current drivers licence?*

Do you have your own transport?*

If you answered "Yes" above, do you have comprehensive motor vehicle insurance cover?

Do you have any pre-existing medical conditions or special needs which may affect the type of work you do as a volunteer?

Please provide the names and contact phone numbers of two referees*

If you answered "Yes", please outline condition/s and restriction on work:

As a volunteer the following conditions apply:

No payment will be made to you by Council.
Volunteers are expected to take reasonable care for their own safety and ensure they do not adversely affect the health and safety of other people when assisting in council approved volunteer activities. Provided they take reasonable care and are participating in council approved activities the worker or other participating person’s will be covered by Council’s insurance.
Should any incident or near miss (resulting in injury or damage to property or any other parties) occur to you while you are acting as a volunteer of Council, you must notify your Program Coordinator immediately, or as soon as practicable.
It is the responsibility of the volunteer to wear appropriate clothing and footwear and ensure they have adequate UV protection when working outdoors (long pants, long sleeve shirt, broad-brimmed hat.

I confirm that I have read and understand the above conditions:*

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