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Contact Details
First Name
*
Last Name
*
Email
*
Facebook Link
URL
Mobile Phone
*
Home Phone
Postal Address
*
Suburb/City
*
State
*
QLD
NSW
ACT
VIC
SA
NT
WA
TAS
Not Australian Address
Postcode
*
Country (if not Australia)
Emergency Contact Details
Emergency Phone Number
*
Emergency Contact First Name
*
Emergency Contact Last Name
*
Emergency Contact Relationship
*
Medical Conditions
Please list any medical conditions you have that should be known by the event organisers
About You
Photo
Please upload a photo of yourself. Please note the uploaded image must be of the applicant - applications with random images will not be accepted.
Add a new file
*
Files must be less than
5 MB
.
Allowed file types:
png gif jpg jpeg
.
Images must be between
400x400
and
4000x4000
pixels.
Date of Birth
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
Services Description
Description of your services - what do you have to offer or what would you like to do at this event ?
Relevant Qualifications / Skills / Interests
Please list your qualifications or special skills e.g. RSA, current first aid certificate, managerial skills, building/construction, audio/visual production, artist/art training, or any other experience or any particular interests.
What work will you do ?
Preferred Tasks
*
Administation
Construction
First Aid
Management
Marketing
Production
Security
Preferred Working Timeframe
*
Pre-Event
August 14th
August 15th
August 16th
August 17th
Post-Event
Any comments / questions / suggestions ?
Financial Info & Insurance
Fee Request / Quote
*
$
Fee Request / Quote Notes
ABN
GST
*
- Select a value -
Requested fee inclusive of GST
Requested fee exclusive of GST
Not Registered for GST
Do you have Public Liability Insurance?
*
- Select a value -
No
Yes
Public Liability Upload
Files must be less than
5 MB
.
Allowed file types:
txt pdf rtf doc docx xls xlsx zip rar jpg tif gif bmp eml odt
.
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