District 9970 Westport Flooding Relief Volunteer Assistance Registration
This form is to collect details of District 9970 Rotarians who are interested in and capable of providing basic trades and other support to the Rotary Westport flooding relief effort.
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Email *
Name *
Phone Number *
Rotary Club Affiliation *
I'm available to work on the following days: *
Required
Skills on offer *
Accommodation *
Required
Other people in my party
Dietary Requirements?
Clear selection
Other Comments
Thank you!
Please ensure you click SUBMIT, you may then be asked to verify that you're not a robot by completing a reCAPTCHA as well.  Then you will be taken to a screen with **CONFIRMATION** on it.  If you are not taken to the confirmation screen,  then your information has not been recorded.
A copy of your responses will be emailed to the address you provided.
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