Eureka Stair Climb

First Name *

Last Name *

Company Name

Email *

Mobile Number *

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Mobile *

Date of Birth *

Dietary Requirements

Medical Conditions

Message

Do you have a WWCC (Working with Children Card)? *

Yes
No
I intend to obtain one in advance (note they can take 3 weeks – apply before 21st Oct)

Please note that some roles require the volunteer to hold a current Working With Children Check card.

These can be obtained through Working with Children Check

Have read and agree to 'Volunteer Waiver' *

Have read and agree to 'Volunteer Code of Conduct' *

Role: Registration/Race Kit Collection

Role: Start Line (requires the volunteer to hold a current Working With Children Check)

Role: Bag Compound (requires the volunteer to hold a current Working With Children Check)

Role: Stairwell Marshall (requires the volunteer to hold a current Working With Children Check)

Role: Finish Line (requires the volunteer to hold a current Working With Children Check)

Role: Deloitte staff only event day roles

Role: Race Kit Packing

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