Experience the digital future of the modern business world Friday 2 December 2016, Geelong, Victoria Want to get involved as a volunteer at Pivot Summit 2016? FIND OUT MORE HERE Fill in the expression of interest form below to apply for a position at this year’s event. Personal Details Name* Surname Address* Suburb* State* Postcode* Contact Number* Email* Date of Birth* Languages (other than English) Occupation* Occupation (Optional) T-shirt size* XS S M L XL Tertiary Education Qualification/Course* Institutions* Event Experience Charity Corporate Indoor Outdoor Festival Gala Walk/run Award Ceremony Launch Please list events you have volunteered at* Please tell us in a few words why you would like to volunteer at the Pivot Summit.* Medical Conditions Do you have any medical conditions or disabilities that could impact on your ability to undertake certain tasks? If so, please detail Note: All medical and personal information will be treated as confidential Ambulance Subscription Yes No *In the case of an emergency an ambulance will be contacted and associated expenses the responsibility of individual/volunteer. Everyone is encouraged to have an ambulance subscription. Identification All volunteers must supply some form of identifications to Perfect Events prior to event. Driver’s License Student Card Passport Emergency Contact Details Full name Contact number Relationship Agreement I acknowledge and agree that I volunteer with Perfect Events at my own risk and that I am responsible for ensuring that I am adequately and appropriately prepared, both physically and mentally for the event. If I have any health issues or concerns prior to or during the event, I understand and agree that I should immediately seek and act upon appropriate medical advice. In consideration of Perfect Events permitting me to volunteer in this event, I release Perfect Events and all persons, organisations or corporations associated directly or indirectly with the conduct of the event, from and against all claims, liabilities, injury, loss or damage I may suffer or incur arising from or connected with me volunteering for these events. I grant full permission for the organisers and media to use photographs, film or video footage of me participating in volunteering with Perfect Events, and surrounding activities, promotions of this or similar events in the future. I acknowledge that I am over 18 years of age and that all information I have given is true and accurate.