1 Start 2 Complete Registrations have NOW CLOSED FOR 2018 HHCD - REGISTRATION DETAILS Organisation Name * Address * Sub Agency Title Your unit's title within your organisation Contact Name * Name and title of person completing this form Business Phone * Mobile Email Address * A valid email is required HHCD - STAFF DETAILS ON THE DAY Service being offered Primary staff member attending on the day Primary staff member's mobile Primary staff member's email Other staff member attending on the day HHCD - HUB PREFERENCE There are 13 hubs and 4 coordinator areas, please tick the appropriate one to your service. Your service may be appropriate to more than one hub, if so, please select the appropriate hubs and we will do our best to accommodate you in each. Each hub has a volunteer Hub Leader who will be in contact with you once they receive the approved, numbered registration form from the HHCD Coordinator. The Hub Leader is responsible for ensuring that your involvement in the event is as seamless as possible, so it is important that you both work closely together. Click Here to download a copy of the registration and insurance application guide (PDF, 501 KB). Hub Preference Catering Entertainment Families Health Screening & Information Housing & Accommodation Legal & Financial Library & Literacy Opportunities Pets Social Work Sport & Recreation Wellbeing Youth For more information, see attached registration and insurance application guide. Coordinator Areas Front Gate Volunteer TAFE Coordinator Clothing For more information, see attached registration and insurance application guide. HHCD - PUBLIC RISK INSURANCE DETAILS (NB Self insured government departments are not required to complete this section) I have Insurance? Yes No If yes, please attach current Insurance Certificate of Currency below. Name of Insurer Policy Number Expiry Date Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year201820192020202120222023 Type of Cover ABN/ACN Name Position Held Signed Email Address Insurance Certificate of Currency Files must be less than 8 MB.Allowed file types: gif jpg jpeg png txt rtf pdf doc docx rar zip.