Online Form - 2023 Newman Triathlon Volunteer Registration

Surname*

First Name*

Address

Street Address:

Town:

State:

Post Code:

Country:

Contact Number*

Email Address*

Date of Birth*

Emergency Contact*

Vest Size*

Do you hold a current Senior First Aid Certificate?*

YesNo

Do you hold a current Working With Children Check?*

YesNo

Preferred Volunteer Role*

Registration/Check in of competitors (6 volunteers)
Swim Course Marshalls (2 volunteers)
Swim Lap Recorders (2 volunteers)
Cycle Course Marshalls on course (16 volunteers)
Cycle Course Lap Recorders (2 volunteers)
Run Course Marshalls on Course (4 volunteers)
Run Course Lap Recorders (2 volunteers)
Transition area (4 volunteers)
Water Station (2 volunteers)
Finish Chute (2 volunteers)

Declaration*

I certify that the above information is true and correct and undertake to advise the Shire of East Pilbara of any changes to the above information.