Online volunteer registration form

1. Your first name:
2. Your surname:
3. Your postal (street level) address:
4. Address line 2 (if necessary):
5. Your town:
6. Your State: TAS ACT NSW NT QLD SA VIC WA
7. Your postcode:
8. Your municipality (Council area): Break O'Day (St. Helens) Brighton Burnie Central Coast (Penguin) Central Highlands Circular Head (Stanley) Clarence (Bellerive) Derwent Valley (New Norfolk) Devonport Dorset (Scottsdale) Flinders Island George Town Glamorgan-Spring Bay (Swansea) Glenorchy Hobart Huon Valley (Huonville) Kentish (Sheffield) King Island Kingborough (Kingston) Latrobe Launceston Meander Valley (Deloraine) Northern Midlands (Campbell Town) Sorell Southern Midlands (Oatlands) Tasman Waratah-Wynyard West Coast (Strahan) West Tamar (Exeter)
9. Phone area code (03) (02) (04) (07) (08)
10. Your day time phone number
11. Your mobile phone number:
12. Your email address:

1. Tree planting
2. Weeding
3. Seed collection
4. Water monitoring
5. Fencing
6. Remnant bush protection

1. Receive notification for events happening... Any day (week days OR weekends) Weekends only
   
2. 
   
   To be notified of events happening in geographical areas of interest to you, please indicate below either a broad region, or a maximum of three specific municipalities (Council areas).
   
   Where in Tasmania might you be interested in helping out? Specific municipalities (tick checkboxes below) Whole of Tasmania Whole northern region Whole southern region Whole Cradle Coast
   Specific municipalities (ignore unless you have chosen 'Specfic municipalities' above)

   Select a maximum of 3 areas:

   1. Break O'Day (St Helen's)
   2. Brighton
   3. Burnie
   4. Central Coast (Penguin)
   5. Central Highlands
   6. Circular Head (Stanley)
   7. Clarence (Bellerive)
   8. Derwent Valley (New Norfolk)
   9. Devonport
   10. Dorset (Scottsdale)
   11. Flinders Island
   12. George Town
   13. Glamorgan-Spring Bay (Swansea)
   14. Glenorchy
   15. Hobart
   16. Huon Valley (Huonville)
   17. Kentish (Sheffield)
   18. King Island
   19. Kingborough (Kingston)
   20. Latrobe
   21. Launceston
   22. Meander Valley (Deloraine)
   23. Northern Midlands (Campbell Town)
   24. Sorell
   25. Southern Midlands (Oatlands)
   26. Tasman
   27. Waratah-Wynyard
   28. West Coast (Strahan)
   29. West Tamar (Exeter)

By submitting this application, I affirm that the facts set forth in it are true and complete. I agree to abide by the rules and procedures as set out in the Procedures Manual for extra hands when participating in extra hands activities. I understand that any false statements, omissions, or other misrepresentations made by me may result in cancellation of my subscription. Please tick below to indicate your agreement.