Volunteer Form

Applicant Details

Applicant Name* Date of Birth * Email Address* Telephone Number*

Address Line 1* Address Line 2 City* State / Province / Region* Postal Code*

Questions

What age group/section are you volunteering for?* What role are you volunteering for?* Medical Conditions* Employer* From Date* To Date*

Post Held* Voluntary/Paid?* Brief outline of duties* Please detail the role you currently fulfill or are applying for within the club?* With discretion can we contact you at work?* Have you ever received a conviction/caution/reprimand or final warning for any criminal offences?* Are you a person known to any social services department/statutory agency as being an actual or potential risk to children or adults at risk?*

Reference

Name of Referee* Position of Referee* Referee Employment* Referee Telephone* Referee Email*

Address Line 1* Address Line 2 City* State / Province / Region* Postal Code*

Declaration and Consent

Applicant Signature*

I, the signee, have the authority to sign on behalf of all the Players stated within this submission, and by signing entering into a Volunteer Player (unpaid player) Agreement/Contract as per the terms of this form for the period of 1 year from 1st Sept 2024 until the 31st August 2025 (To sign - Please draw your signature on the touch screen or by using the mouse. When using a mouse, hold down the left button to draw. You can start again by clicking on the x in the top right corner.)

First name* Last name *