Volunteer Registration Form

All Keep Australia Beautiful WA volunteers are eligible to be covered by insurance during volunteer activities.  By filling out and submitting the below information, the participant agrees that:

  • They are covered under Keep Australia Beautiful Council's personal accident and public liability insurance policy for volunteers only during the date and time that they are signed on for the activity.
  • Keep Australia Beautiful will not be liable for: any acts or omissions, negligence or fault of any person participating in the activity; any loss or damage to property owned by, or in the possession of the participant.
  • The participant is only covered by KABC WA insurance if all details on this form are true and correct.

PLEASE NOTE: Parents/Guardians must accompany and sign this form on behalf of any children under 16 years of age.


Volunteer Registration Form

  1. Gender
  2. Please use the format of DD/MM/YYYY (08/11/1978).

  3. Are you over 16 years of age?
  4. If the answer is no, please state the name of parent or guardian who will accompany you while volunteering.

  5. Please complete if you are under 16.

  6. Tell us your LGA then we can notify you of volunteering events in that area.

  7. Let us know if you can help with a specific skill set.

  8. Name the person we call if you need assistance or have a medical issue while volunteering.

  9. Only used in the case of an emergency.

  10. Photo permission*
  11. At events we take photos of people and outcomes for use on website and social media. If you do not wish to be involved in these opportunities please tick this box and alert people at the event of your wishes.

  12. Your Health *
  13. Do you have any medical conditions, allergies, disabilities, past or present injuries that may affect your participation (eg back injury)?

  14. Please describe any medical condition that may affect your particpation.

  15. Declaration*
  16. Please select which event you are volunteering for. If there is no specific event please select 'General Volunteer'.

  17. If you are registering for an Adopt-a-Spot or a Clean-up or WA Beach Clean-up site please let us know where it is.

  18. Do you have a current Working With Children Check

  19. Enter your WWCC number

* denotes a required field.