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Forms for Youth Ministries

................. Leavers Week, Camps, Sportsfest ...

Leavers' Application

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Application for Green Team

IMPORTANT INFO FOR ROTTNEST

If you are wanting to volunteer for Rottnest please note that the Ferry will be taking The Green team over on Monday 23^rd of November and returning on Friday 27^th of November.

If you cannot make it for the full time, we recommend you go to Dunsborough.

IMPORTANT INFO FOR DUNSBOROUGH

We would recommend that you arrive Sunday afternoon on the 22^nd of November, so you can be ready to go on Monday night.

Also if you can be available for the weekend before (20^th -22^nd of November) for setting up or the weekend after (27^th-29^th of November) for clean up/packing up. That would be great

If you are only available for part of the time, that is ok, We would still like your help.

JUMPER SIZES

SIZE	XS	S	M	L	XL	XXL	XXXL
Half Chest	57cm	59cm	61cm	63cm	65cm	67cm	69cm

T-SHIRT SIZES

SIZE	XS	S	M	L	XL	XXL	XXXL
Half Chest	50.5cm	53cm	55.5cm	58cm	60.5cm	63cm	65.5cm

*** Please Note that your application does not guarantee you a position on the Green Team ***

Leavers' Application for Green Team

Mandatory*

First Name *

Field not valid (required or bad value)

Last Name * Enter Last Name

Field not valid (required or bad value)

Street Address * Enter Street Address

Field not valid (required or bad value)

Suburb * Enter name of suburb

Field not valid (required or bad value)

Post Code * Enter Post Code

Field not valid (required or bad value)

Gender Male Female Select one of the options

Date of Birth (format dd/mm/yyyy) Enter date of Birth

Field not valid (required or bad value)

If Over 18 - Working with Children Card # OR Receipt Number * Enter Card # or Application Details

Field not valid (required or bad value)

Senior First Aid Certificate Yes No Enter whether you hold a Senior First Aid Certificate

Phone - Landline Enter Home / Work Phone Number

Field not valid (required or bad value)

Mobile Phone Enter mobile phone number

Field not valid (required or bad value)

Email Address Enter a valid Email Address

Field not valid (required or bad value)

Tee Shirt Size XS S M L XL XXL XXXL Enter Tee Shirt Size to make sure you get the correct one

Jumper Size XS S M L XL XXL XXXL Enter Correct Jumper Size to ensure you get the proper one

Location Interested to Help at * Dunsborough Rottnest Enter Location interested to help at

Field not valid (required or bad value)

If Dunsborough - Accomodation Needed Yes No Enter whether accomodation is needed - if Dunsborough is chosen

Nights Available - From (format: dd/mm/yyyy) * Enter first night available (format: dd/mm/yyyy)

Field not valid (required or bad value)

Nights Available - To (format: dd/mm/yyyy) * ENter last night available to help

Field not valid (required or bad value)

Have you Volunteered Before at Leavers Yes No Tell us whether you have volunteered for Leavers before

If YES, When Enter Year when you volunteered

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How did you hear about Leavers Enter how you heard about Leavers

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Referee 1 (Name + Contact Number) *

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Relationship with Referee 1 * Enter Relationship with Referee 1

Field not valid (required or bad value)

Referee 2 (Name + Contact Number) * Enter Name of Referee 2

Field not valid (required or bad value)

Relationship with Referee 2 * Enter Relationship with Referee 2

Field not valid (required or bad value)

Preferred Area 1 Enter preferred area 1

Preferred Area 2 Enter Second Choice of Preferred Area

Preferred Area 3 Enter 3rd Choice of Preference of Area

*** IMPORTANT *** PLEASE ENTER CHARACTERS EXACTLY AS THEY APPEAR IN IMAGE - THIS IS CASE SENSITIVE. IF IT IS WRONG - ALL DATA WILL BE CLEARED AND YOU WILL HAVE TO ENTER THEM AGAIN (TO MINIMISE SPAMMING). THANKS.

Refresh Captcha

Sorry, the characters entered did not match those in the image. To prevent spamming, all the data was cleared. *** PLEASE RE-ENTER YOUR DETAILS AND MAKE SURE THE CHARACTERS YOU ENTER MATCH THOSE IN THE IMAGE ***

Thank You

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