Volunteer Registration Volunteer Registration Step 1 of 2 - Your Details 50% Your Name* First Last Date of Birth* Gender*MaleFemaleEmail Address* Phone Number*Address* Street Address Address Line 2 City ZIP / Postal Code Are you a?*Non-medical volunteerRegistered NurseRegistered DoctorIndustry RepresentativeWhat is your knowledge/experience of Type 1 Diabetes in children/teens?* Do you have Diabetes?*YesNoNumber of Years with Diabetes*Diabetes TypeType 1Type 2Any other medical conditions we should know about? e.g. asthma, epilepsy, heart condition etc?Anything else we should know about? i.e. police recordDo you have your own transport?*Details of verbal referee (not a family member)*I give permission for media (photographs, video, images) of myself to be used by DNZ and programmes associated external third party providers of the camp or activity for social media such as Facebook and other marketing purposes.*YesNoBy submitting this form I agree that all details in the above application are complete and correct. I understand that I will be required to fill out a questionnaire about the weekend to give feedback to DNZ about it. This will be used to make improvements to future events and camps and to support funding applications or to thank people who have made donations towards funding the camp. I may also be asked to write about my experience for publication in Youth Buzz or other Diabetes NZ material. This iframe contains the logic required to handle Ajax powered Gravity Forms.