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Volunteer Registration Form
Conference:
2012 Melbourne Water Kids Teaching Kids Conference
2012 Australia Post Kids Teaching Kids Week
2012 Australia Post Kids Teaching Kids - In School Program
Last Name:
First Name:
Organisation(If Applicable):
Address:
Work Telephone
Mobile:
Which town do you live?
Your Email?
Emergency Contact Name:
Emegrency Contact Daytime Number:
Special Dietary Requirements?
Do you have a drivers licence?
Yes
No
Do you have an up to date first aid certificate?
Yes
No
If Yes, Which one?
Have you ever worked with children?
Yes
No
Do you have a Working with Children Blue card?
Yes
No
If YES, what is your Working with Children registration number?
Which days are you available for the conference?
14/10/2012
15/10/2012
16/10/2012
Can you assist with the conference set up the day before conference start?
Yes
No
Please number which role/s you are interested in.
NOTE: You can register for more than one role, if you have a preference you could number 1,2,3 etc... so we know your preferred role.
General Support
Workshop Chairperson
Workshop Support Crew
Registration Staff
Environmental Project Day Site Crew
Environmental Project Day Site Manager
Environmental Project Day Group Leader