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Want to volunteer with us? - Challenges Media

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If you are interested in volunteering, please fill out the form below and we will contact you with further information.

General Information
Full Name*
Gender*
FemaleMale
Date of Birth* (dd-mm-yyyy)
E-mail Address*
Phone number (mobile)*
Phone number (home)
Nationality*
Field of Study/Profession
Date of Graduation (dd-mm-yyyy)
T-Shirt size
XSSMLXLXXL
Address
Permanent*
Current (if differs from above)
Availability
From* (dd-mm-yyyy)
Until* (dd-mm-yyyy)
Monday
morningafternoon
Tuesday
morningafternoon
Wednesday
morningafternoon
Thursday
morningafternoon
Friday
morningafternoon
Saturday
morningafternoon
Sunday
morningafternoon

Interests
Tell us in which areas you are interested in volunteering
Secreteriat AdminChallenges Buddy RunChallenges Buddy TournamentChallenges Advocacy WorkshopsBuddy Club ProgrammeTandem Cycle ProgrammePR & PromotionSocial media coordinationFundraisingNewsletter productionVolunteer coordinationEvent Planning
Emergency Contact Information
Full Name*
Relationship to Volunteer
E-mail Address*
Phone number (mobile)*
Phone number (home)

Volunteer Consent

I agree to participate in Challenges Volunteer Program.

  • I give permission to be photographed and/or filmed at any activity and I understand that any photograph or videotape may use at the discretion of Challenges / Buddy Club Program secretariat for publicity purposes to promote the Program.
  • I agree to furnish Volunteer Program Secretariat with any medical information that may be necessary in treating me in case of en emergency
  • I consent to use and disclosure of such medical information to medical professional that may need the information in order to treat me in the case of an emergency.
  • I agree to release members of the Challenges Buddy Club Secretariat and their partners from any liability for any accidents, injury or illness suffered at, during or in connection with any activities.
I agree to everything listed above.

Is there anything else you would like us to know?