JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Volunteer Registration Form
Please complete this form to register as a volunteer for the
2023 Yahava KoffeeWorks Cool Water Classic
* Indicates required question
Email
*
Your email
First name
*
Your answer
Surname
*
Your answer
Mobile phone number
*
Your answer
Date of birth
*
Please note, volunteers must be between the ages of 16 and 85 years old. If you are aged under the age of 16, you can still volunteer but you must be accompanied by a parent or guardian.
MM
/
DD
/
YYYY
Gender
*
Male
Female
Prefer not to say
Other:
Emergency contact name
*
Your answer
Emergency contact mobile phone number
*
Your answer
Do you have any medical conditions or take any medications?
*
Yes
No
Please list any medical conditions and/or medications below
Your answer
Please list any allergies or dietary requirements below (if applicable)
Your answer
Volunteer position selection
*
Friday 10 November - Event Registration (between 1pm and 8pm)
Saturday 11 November - Event Day (between 6am to 5pm)
Required
Waiver Agreement and Acceptance
*
Please
click here
to access the Geo Bay Swim Pty Ltd Volunteer Waiver
I agree to the Geo Bay Swim Pty Ltd Volunteer Waiver
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of T2F Projects PTY LTD.
Report Abuse
Forms
