2016 FFA National Futsal Championships - Volunteer Application Form

2016 FFA National Futsal Championships - Volunteer Application Form
Football NSW are looking for Volunteers to assist with the delivery of the 2016 FFA National Futsal Championships to be held from Monday 4th January until Friday 8th January 2016.

Volunteers do not necessarily need any prior Futsal experience as you will be providing supporting roles during the Championships.

If you would like to be a volunteer please complete the form below.
PERSONAL INFORMATION
Full Name:*

First NameLast Name
Gender:*
Date of Birth:*

DayMonthYear
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Number:
E-mail:*

EMERGENCY CONTACT
EMERGENCY CONTACT 1
Full Name*

First NameLast Name
Relationship to Volunteer:*
Mobile Number:
EMERGENCY CONTACT 2
Full Name

First NameLast Name
Relationship to Volunteer:
Mobile Number:
OTHER INFORMATION
Are there any medical conditions we should know about in the case of an emergency?*
If Yes please provide:*
In the event of an accident or incident where you require immediate medical attention, do you authorise FNSW to call an ambulance?*

AVAILABILITY
Please indicate your availability below by:
- Selecting the day that you are available
- Entering your available start time
- Entering your available finish time
- Entering your preferred venue
- Then press the + button to enter any other days that you are available
Please note that the earliest start time could be 7am and the latest finish time could be 9pm.

The Venues being used for the National Futsal Cahmpionships are:
- Valentine Sports Park (Mon-Thurs only)
- Dural Sport and Leisure Centre (Mon-Thurs only)
- Penrith Valley Regional Sports Centre (Mon-Thurs only)
- Sydney Olympic Park Sports Centre (Friday only)
Availability:*
There will be a volunteer briefing held on Sunday 3rd January at Valentine Sports Park, commencing at 5pm.
Are you available to attend this volunteer briefing?*

WORKING WITH CHILDREN CHECK REQUIREMENTS
All Volunteers are required to provide Football NSW with their Working with Children Check Number.
Do you currently have a current Working with Children Check Number*
Please provide your Working with Children Check Number:*
If No, please click here for a Step-by-Step Guide on how to request a Working with Children Check Number.

You will be asked to provide this number before approval can be given to Volunteer.

UNIFORM SELECTION
Please select the appropriate uniform size for shirt and shorts from the drop down menus.
Shirt:*
Shorts:*
Should be Empty:

PERSONAL INFORMATION