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* 1. What is your name?

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* 2. Your email address

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* 3. Your phone number

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* 4. Please select the things below that you would be happy to do as a volunteer

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* 5. Please select your availability

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* 6. Do you have any medical conditions?

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* 7. Please list the name and phone number of your emergency contact

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* 8. Is there anything else we need to know about you that will help us look after you as a volunteer? (eg. you may not be able to stand for extended periods of time, or you might have a broken arm)

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