Volunteer Official Registration 2016 Please ensure you have read the Darwin Triple Crown Volunteer Officials Terms and the Disclaimer Exclusion of Liability Release and Assumption of Risk before completing this form. If you are aged under 18, you must have signed parental consent. In addition to completing the below registration form, please also fill out the CAMS 2016 Disclaimer Parent Consent form with your parent’s or guardian’s signature and email it to celia.delatour@nt.gov.au or fax to 08 8941 4628. Surname*Name*Date of Birth*Email* Phone*Address Line 1*Address Line 2City / Town*State*Choose StateAustralian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaPostcode*Have you been a Volunteer Official at the Darwin Triple Crown V8 Supercars previously?*SelectYesNoPreferred Team*Choose TeamAdministration TeamBoundary RidersCommunications TeamCourse Car TeamEquipment TeamFire and Rescue TeamFlag TeamPaddock TeamPit and Grid TeamScrutineering TeamSenior Official - by invitation onlyTiming TeamVehicle Recovery TeamNo preferenceRoleCAMS Officials Licence NumberLicence GradingRecent Officiating ExperienceTo assist with allocation positions Special Dietary Requirements* None Vegetarian Vegan Gluten Free Lactose Free Diabetic Egg Free Pork Free Other Details of Dietary RequirementsShirt Size*Choose sizeSMLXLXXLXXXLXXXXLDo you require a Guest Pass?*SelectYesNoEmergency Contact Name*Emergency Contact Number*Pre Existing Medical Conditions Availability* Friday 17 June 2016 Saturday 18 June 2016 Sunday 19 June 2016 Disclaimer*I confirm I have read and understood the Volunteer Officials Terms and Conditions and the 2016 Disclaimer and Exclusion of Liability I confirm