IW Staff Registration Form (June 2019)
Introduction Weekend is from 14 - 16 June 2019

Thank you so much for volunteering your time to help us make IW June 2019 a success!

Fill in these details to join us as  staff for this IW! You will be contacted by the team for confirmation on your role and any other necessary information 2 weeks before the camp.
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电子邮件地址 *
Name *
Mobile number *
Please input number according to this format : + Country Code - Area Code - Number  [i.e. + 60 - 12 - 345 6789]
Previous Raleigh Experiences * *
必填
Which role are you interested in? *
必填
Any special skills related to camping, facilitating & teambuilding, or logistics and planning? *
Are you able to drive?
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Any medical conditions? *
Are you allergic to anything? *
Emergency Contact Mobile number *
Please input number according to this format : + Country Code - Area Code - Number  [i.e. + 60 - 12 - 345 6789]
Emergency Contact Name *
Emergency Contact Relationship *
Anything else we should take note of?
您回复的副本将通过电子邮件发送到您提供的地址。
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