Sign Up - Harmony Maidstone

VOLUNTEER
REGISTRATION

WELCOME & THANK YOU

We are so grateful for you giving your time to come and help us get Harmony back open and ready for the public. This volunteer event does not fall under the scope of public liability insurance so as a precaution we are kindly asking you to fill out this simple emergency contact and waiver form in case of any emergency.

First Name *

Second Name *Please enter your second name.

Date of Birth

Day

Month

Year

Please enter your date of birth.

Phone Number *Please enter your phone number.

Email Address *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code *

Country

Emergency Contact *Please enter the full name of your emergency contact.

Emergency Contact Number *Please provide a number for someone we can contact in case of emergency.

Are there any health issues you want to tell us about, or do you have any dietary requirements or allergies? *In none please enter 'no'.0 / 180

I confirm I am either over 12 years old or I have my parents permission to sign up to Harmony Maidstone.I confirm.Age consent.

VOLUNTEER REGISTRATION

VOLUNTEER
REGISTRATION