Coastrek 50-100km team trek on Sydney's stunning coastline

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First Name *
Last Name *
Your Email Address *
Confirm Email Address *
Your Contact Number *
Your Street Address *
Suburb * Please enter the first 3 letters of your suburb.	Enter at least 3 letters of the suburb
State *
Postcode *
Country *
Emergency Contact Name *
Emergency Contact Number *
Do you have a current driver license?	Yes No
If you have your own vehicle, are you able to use your car, If required, during the event?	Yes No
Do you have a current First Aid Certificate?	Yes No
First Aid Cert valid until (date)
Do you have any health concerns that we should be made aware of? If yes, please provide details?	Yes No
Please select your preferred times/locations for reporting on duty at the event. Note: shifts can be adjusted for availability (1=most preferred 2=acceptable 3= least preferred)
Which role would you be most intereseted in doing?
T-shirt size? *
I acknowledge that I am undertaking a Volunteer role at the event and will be donating my time and services *	Yes
Are you Wild Women on Top Member?	Yes No
How did you hear about Volunteering for Coastrek?
I have read and agree to abide by the Child Protection Policy *	Yes
I have read and agree to the Risk Waiver *	Yes

Volunteer