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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
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5
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28
29
30
31
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2011
2010
2009
2008
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2002
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1951
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 27
August 28
August 29
August 30
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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