Canterbury Car Club Volunteer Engagement Form 2023/24 Season

Volunteer Engagement Form

2023/24 Season
Name*

First NameLast Name
Preferred Name
Postal Address*

Street Address

Street Address Line 2

City

Post Code
Phone Number*

Phone Number
Email
example@example.com
Date of birth*
Emergency Contact*

Full NamePh Number
Events Types you currently help at:*

RaceClubsportSprints
Department*
Any other department you are interested in?
Do you hold a current first aid certificate

YesNo
Do you hold a current car drivers licence?

FullRestrictedLearners
Do you have any conditions which may affect your ability to effectively carry out your role? If yes please give details.
Volunteers who commit to helping within the season will be gifted complimentary membership to the Canterbury Car Club. Memberships will be issued at the discretion of the CCC General Manager.

All contact information will be shared with Motorsport New Zealand, for the purpose of adding everyone to the MSNZ Volunteer Database. This will be used to communicate with Volunteers as well as assist with the planning of training throughout New Zealand.

Your information will not be shared with anyone else.
Membership Declaration:
I declare that this information supplied by me is true and correct and I consent to the collection, retention, use and disclosure of it by the Canterbury Car Club Inc. for the lawful activities of the Club.

I agree to meet my obligations under the Health and Safety at Work Act 2015.
I agree to abide by and be bound by the Constitution, By-laws, Rules and Policy of the Canterbury Car Club Inc

My consent is given in accordance with the Privacy Act 2020.

Volunteer's Rights & Responsibilities

Media Policy
Check this box to agree with the above declaration
Should be Empty: