Wakatipu Search and Rescue Group based in Queenstown New Zealand constists of Bush/Alpine, ACR, SAR Dogs, Swift Water and Coast Guard units and operates in Mount Aspiring National Park.

New Zealand | 23.02.2012 | 10.43pm







First Names*
Surname*
Preferred name
Gender (select)*

Your Details
Physical Address (Home)*
Postal Address
Home Phone*
Mobile Number


Occupation*
Employer
Work Address
Work Phone


E-mail address*
E-mail address (2)


My mobile telephone is Text capable:    on 24/7:


Birthdate (dd/mm/yyyy)


Fitness Level (select)


Medical Conditions / Limitations:*
List below - any ongoing / chronic
medical conditions / limitations
( if applicable)


Medication:*
List below - any prescribed medication
you require regularly / outline what it
is for


Physical Limitations:*
List below - any physical limitations
you might have (e.g. sight impairment)

Emergency Contact Details

Next of kin - 1
Name
Relationship
Address
Home Phone
Work Phone
Mobile Number

Next of Kin 2 or Doctor
Name
Relationship
Address
Home Phone
Work Phone
Mobile Number

Current Affiliations
Are you affiliated with any specific group/s ?
NZ Police
NZ Deerstalkers
NZ Search Dogs
Swift-water Rescue
Tramping Club
NZMSC
Alpine Cliff Rescue
NZ Coastguard

Skill Competency
Outdoor / Tramping Experience
Radio Communications
Use of GPS Units
Map /Compass / Navigation
Track & Clue Awareness
Brief description of your outdoor
experience*

Equipment
Please list below any special equipment you own that you might bring along to a Search, or other equipment you own that could be useful in some way on a SAROP e.g. whitewater or sea kayak, dinghy, mountain-bikes, quad-bikes, GPS, Binocculars, stoves, tents etc. (use following format)
Type / Model
Description
Serial # (if applicable)
$ Value
Comments if necessary


Type / Model
Despcrition
Serial # (if applicable)
$ Value
Comments if necessary


Type / Model
Description
Serial # (if applicable)
$ Value
Comments if necessary


SKILLS
List below, any skills you have relative to SAR.
Include SARINZ courses, First Aid Courses, SAREX's & other training attended.

Brief Description Date Done Comments Expiry Date


EXPERIENCE
Please list / desribe below any relevant experience not detailed in Skills above


POSITIONS
Please list below any positions you currently hold or had in relation to SAR previously





 
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