WTAC 2019 Staff & Officials Registration Form
ALL WTAC & DRIFT Officials, Staff & Direct Contractors are required to complete this form to assist with accreditation passes.
First Name *
Your answer
Last Name *
Your answer
Email address *
Your answer
Mobile Phone Number *
Your answer
Role / Job at WTAC *
Your answer
T Shirt Size
Dates you are available to work *
Required
CAMS Officials Licence Number (if you have one)
Your answer
CAMS Officials Licence Type
Your answer
Have you worked at WTAC previously? *
What role/job did you have?
Your answer
Do you hold any of the following (must be current)
Street Address *
Your answer
Suburb *
Your answer
State *
Your answer
Postcode *
Your answer
Name of Emergency Contact (must be able to make a medical decision on your behalf if necessary) *
Your answer
Emergency Contact Phone Number *
Your answer
Do you have any medical conditions we need to be aware of (all information is kept confidential)
Your answer
Are you taking any medications? Please list
Your answer
Where will you be staying during WTAC? *
Your answer
Any dietary requirements (Intolerances, allergies etc)
Your answer
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