NSW Flood Support Foot Soldiers Registration

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This form should be individually filled by all members who wish to volunteers participating in Flood Support as Foot Soldiers

Email *

First Name *

Last Name *

Phone Number *

Known Medical Conditions *

Also please include any medicines and allergies (including medical allergies) which are prescribed by Doctor

Vehicle Number

This is if you are driving your vehicle to the region. Also please describe type of vehicle

Emergency Contact - Name *

Emergency Contact - Phone Number *

Declaration *

I understand that the region is affected by flood and health risks.

I acknowledge to take full care and protection against possible infections / dangers. and comply to the instructions provided by Team Leader

I understand, I am acknowledging by updating this link, I am happy to be Sewa volunteer, I will also agree to be a member of Sewa, which in-turn cover the PLI.

I have read and understand

Required

Send me a copy of my responses.

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