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Staff Register 2024

2022 Staff Register

Please Upload Your Waiver here:

Maximum file size: 33.55MB

Contact – First Name *

Last Name *

DOB:

Age:

Email Address *

Mobile #: *

Postal Address *

Suburb *

Postcode *

State/Territory *

Tax File Number: *

ABN:

Bank:

BSB:

ACC#:

Drivers License #:

Drivers License State:

Emergency Contact – Name *

Emergency Contact – Relationship *

Emergency Contact – Contact Number *

Emergency Contact – Alt Contact Number

Emergency Contact – Email:

HEALTH ISSUES OR EXISTING INJURIES: (eg: diabetes or asthma) YES / NO : 

Do you receive Centre Link Benefits, Austudy or Youth Allowance?

Are you a smoker?

Have you been a volunteer or staff previously?

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If you agree and are interested in proceeding, please follow these steps and return the application: *

All information given is correct and remains confidential.

I hereby agree to signing a Participation Waiver prior to attending the Event and accept all risks associated with participation during the event.

If you are human, leave this field blank.