What's your email address?

Your information


Required fields are marked with an asterisk (*).
First Name *
Last Name *
Mobile Phone

For example, +61 123 456 789
Gender *
Street address
Town/Suburb
Postcode
Country
Date of Birth

A valid date as DD/MM/YYYY (for example: 30/11/2015)
Emergency Contact Person *
Relationship (e.g. Parent/Partner)
Emergency Contact Number *
Do you have any medical conditions, allergies, disabilities or past injuries that may affect your participation? (Please NOTE you need to be fit and active on the Barge clean up trips due to getting on and off the barge and walking over rocks and lifting *
Media consent *
How did you find out about Eco Barge Clean Seas Inc.?




Waiver

CONDITIONS OF PARTICIPATION
I agree to comply with the following terms that refer to my participation in all projects and activities:

1. I certify that to the best of my knowledge I currently have no symptoms of COVID-19 & am not a close contact of a person who has COVID-19.
2. I have notified the Project Manager of any relevant medical conditions and pre-existing injuries, and I consent to the Project Manager rendering or authorising such medical treatment as necessary and accept responsibility for all associated expenses.
3. I am a volunteer and not an employee of the Committee.
4. I will not smoke, consume or store alcohol or illicit drugs while working on a project site.
5. I shall respect the rights, feelings and property of all others associated with projects.
6. I shall cooperate with the Project Manager to ensure a safe, happy and hygienic team environment.
7. My placement on all projects is at the discretion of the Project Manager.
8. Snorkeling is not part of the Eco Barge trip, however if I chose to go swimming I do so at my own risk.
9. I understand that failure to comply with any of these conditions may result in the Project Manager requesting me to leave.