Coffs Coast Rally Volunteer Registration

Volunteer Registration Form

Coffs Coast Rally - November 25-27, 2022
Full Name:*

First NameLast Name
E-mail:*
example@example.com
Mobile Number:*
Mobile Number
Phone Number:

Area CodePhone Number
Postal Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Motorsport Australia Licence Number:
Are you over 18 years of age?*

YesNo
Emergency Contact:*
What days are you available to help (Choose all that apply)?

Wednesday 23rd NovemberThursday 24th NovemberFriday 25th NovemberSaturday 26th NovemberSunday 27th NovemberMonday 28th November (Event Clean Up)
What is your preferred area to work in (You can choose more than 1)?

Stage TeamRoad ClosureHeadquartersService ParkCourse Car TeamScrutineeringAdministrationSpectator MarshallRegroup/Remote RegroupRecovery TeamMedical TeamOther
If Other, please specify:
Team or Other Officials you wish to be with:
What Type of Vehicle you will be attending the event in?
Previous experience as a motorsport official?
Coffs Cost Rally - storing of Information The information contained in the document will be compiled by the Coffs Coast Rally into a database. No information will be distributed to any third party. By completing this form I give my consent to this information being stored and used by the Coffs Coast Rally.*

YesNo
I agree to Terms and Conditions of the Motorsport Australia Disclaimer, COVID-19 Declaration and the Risk Warning and Assumption of Risk Declaration, the full documents are available via the link below: I accept the conditions of, and acknowledge the risks arising from, attending or participating in Motorsport Activities being provided by Motorsport Australia and the Entities. I agree to be bound by the rules, regulations and policies of Motorsport Australia at all times as a condition of continuing to hold a licence. The information I have entered into this form is true and correct and I will advise Motorsport Australia immediately if any of the information I have given is no longer true and correct. I have read, understood, acknowledge and agree to the above including the exclusion of statutory guarantees, warning, assumption of risk, release and indemnity.*

YesNo
The Motorsport Australia full disclaimer cam be viewed at

https://motorsport.org.au/events/disclaimers
Signature

Clear
Should be Empty:

Volunteer Registration Form