Lipton Volunteer Application 2016

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* 1. Your availability

Saturday 19 November 2016

Sunday 20 November 2016

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* 2. Your preferred volunteer location:

on land

on water (please ensure you have current suitable qualifications for on water volunteering)

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* 3. Address

First and Last Name *

Which Yacht Club are you a member of? *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 4. What top size do you require? (all volunteers receive a long sleeved t-shirt)

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* 5. Dietary allergies?

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* 6. Any medical information we need to know about?

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* 7. Emergency Contact Name

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* 8. Emergency Contact Number