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Registration form

Montserrat Red Cross Volunteer Registration

Step 1 of 4

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Tell us about yourself
Please state your name*
Please state your email address*
Gender
Date of birth
DD slash MM slash YYYY
Address
Street Address Address Line 2 ZIP / Postal Code Country
Telephone number
What areas of our work are of special interest to you? Please tick*
- First Aid
- Youth Work
- Disaster Management
- Health and Social Care
- Fundraising
- Communications/Media
- Volunteer Management
- Other
Do you possess any special skills?
Do you hold a valid driver's licence?
- Yes
- No
Are you willing to contribute your time and to serve in an emergency or disaster operation?*
- Yes
- No
- Maybe

Emergency Contact
In the case of an emergency who should we contact?
Name of contact person in case of an emergency.
Relationship to you?
Address
Street Address Address Line 2 ZIP / Postal Code Country
Telephone number

Membership options
Please choose your preferred option*
- XCD $30.00 Annual Fee
- XCD $350.00 – Lifetime Fee
- XCD $500.00 – Corporate Membership
- NO Fee – Volunteer Only

Membership options
I CONFIRM THAT THE INFORMATION GIVEN HEREIN IS TRUE AND CORECT TO THE BEST OF MY KNOWLEDGE. I HEREBY AUTHORIZE THE MONTSERRAT RED CROSS TO CONTACT ME AND TO SHARE INFORMATION WITH ME FROM TIME TO TIME.*
- Yes
- No

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©2024 British Red Cross The British Red Cross Society, incorporated by Royal Charter 1908, is a charity registered in England and Wales (220949), Scotland (SC037738) and Isle of Man (0752).