Global Village Registration Form

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If you have volunteered with us before you would have already provided some of the details below.
In order to ensure all of our information is kept up to date we do require that you submit information to all compulsory fields.

Personal Information

Note: Full Names must be exactly as per your passport

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Current Address

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(if outside NZ)
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Contact Details

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Passport Information

Note: Must be valid 6 months after travel.

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Your Level of Expertise

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A Professional builder or tradesperson with Years Experience
Handyman - Not a professional but have had significant experience in building projects for Years.
Please state experience
Unskilled building volunteer: I would like to help but have no building industry experience, and would require someone to supervise me.
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You are welcome to include a copy of your resume, trade qualification or written references. Please email to: .

Emergency Contact Details

Emergency contact name *

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Emergency contact address *

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Health and Insurance Details

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Physician name *

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Physician address *

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Additional Information

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Completion of this registration form does not in itself entitle the person completing the form to a team place on the event. This registration is complete when the deposit is made AND you are allocated a team place by your team leader

Please send copies of CVs trade qualifications and passports to: Fax to: 09 579 4112 or Post to: PO Box 112387, Penrose, Auckland 1642

Please upload your passport here:

You have not uploaded a file yet.

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Legal

Important: Each participant, including team leaders, must have a signed "Release and Waiver of Liability" on file with Habitat for Humanity prior to departure.

Please PRINT all information in blanks provided

PLEASE COMPLETE AND READ CAREFULLY! THIS IS A LEGAL DOCUMENT!

This Release and Waiver of Liability (the "Release") executed on this 20th day of April, 2011, by (the "Volunteer") in favour of HABITAT FOR HUMANITY INTERNATIONAL, INC., a Georgia non-profit corporation, HABITAT FOR HUMANITY NEW ZEALAND an entity formed under the laws of NEW ZEALAND, their trustees, directors, officers, employees, and agents (collectively, "Habitat").

The Volunteer desires to work as a volunteer for Habitat and engage in the activities related to being a volunteer. The Volunteer understands that the activities may include constructing and rehabilitating residential buildings and living in housing provided for volunteers of Habitat. The Volunteer does hereby freely, voluntarily, and without duress execute this Release under the following terms:

1. Waiver and Release.

Volunteer and Guardian do hereby release and forever discharge and hold harmless Habitat and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from Volunteer's work for Habitat.

Volunteer and Guardian understand that this Release discharges Habitat from any liability or claim that the Volunteer or Guardian may have against Habitat with respect to any bodily injury, personal injury, illness, death, or property damage that may result from Volunteer's work for Habitat, whether caused by the negligence of Habitat or its officers, directors, employees, or agents or otherwise. Volunteer and Guardian also understand that Habitat does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance in the event of injury or illness.

2. Medical Treatment.

Volunteer and Guardian do hereby release and forever discharge Habitat from any claim whatsoever which arises or may hereafter arise on account of any first aid, treatment, or service rendered in connection with the Volunteer's work for Habitat or with the decision by any representative or agent of Habitat to exercise the power to consent to medical or dental treatment as such power may be granted and authorized in the Parental Authorization for Treatment of a Minor Child.

3. Assumption of the Risk.

The Volunteer and Guardian understand that the work for Habitat may include activities that may be hazardous to the Volunteer, including, but not limited to, construction, loading and unloading, and transportation to and from the work sites.

Volunteer and Guardian also understand that, in order to protect its employees and volunteers in all countries around the world, it is Habitat's policy that it will not pay ransom or make any other payments in order to secure the release of hostages. Volunteer and Guardian hereby expressly and specifically assume the risk of injury or harm in these activities and release Habitat from all liability for injury, illness, death, or property damage resulting from the activities of the Volunteer's work for Habitat.

4. Insurance.

The Volunteer and Guardian understand that, except as otherwise agreed to by Habitat in writing; Habitat does not carry or maintain health, medical, or disability insurance coverage for any Volunteer.

5. Photographic Release.

Volunteer and Guardian do hereby grant and convey unto Habitat all right, title, and interest in any and all photographic images and video or audio recordings made by Habitat during the Volunteer's work for Habitat, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.

6. Other.

Volunteer expressly agrees that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Georgia USA, and of NEW ZEALAND; and that this Release shall be governed by and interpreted in accordance with the laws of the State of Georgia USA, and of NEW ZEALAND. Volunteer agrees that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provisions of this Release which shall continue to be enforceable.

Receipt for your payment

Tax donation receipt Declaration

You may be aware that HFHNZ previously issued donation receipts for contributions to the Global Village programme (GV) used by volunteers and donors for tax rebates. Please be aware that these receipts are currently suspended. Please note that this also includes the suspension of our online fundraise facility for donors to be able to donate to Global Village Trips. We apologise for any inconvenience as this will remain in effect for an extended and indeterminate period of time.

We are engaged in discussions with the Inland Revenue Department (IRD) about how best to treat volunteers' and donors' donations to Habitat in relation to GV.

Please note the possible final outcomes may range from a receipt for all donations, or a receipt for some donations, or no donation receipt. We are doing all we can to have full receipts issued in future. However at this stage we do not know what the outcome of the IRD discussions will be.

Once the situation is clarified we will inform registered volunteers on what to expect regarding the issuance of donation receipts, if any.

We are sorry about any inconvenience this suspension of donation receipts causes you, or those you know making donations.

If you have questions, please write to us at donations@habitat.org.nz

Declaration

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