You may use this form to send for information about joining WCRS. There is no need for you to have had any past experience in a medical or rescue field, all we ask is that you are willing to volunteer and give some commitment to the squad. Once we recieve the information we will contact you. All information is treated as confidential and will not be sent to any third parties.

Enter Your Name:

Enter Your Email:

Your Address:

Day Time Phone Number:

Evening Phone Number:

Additional information (IE any experience or qualifications):

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