Become a member

Support our work by becoming a VRCS Member.

Membership is open to people from all walks of life, without discrimination.

Membership Registration Form

Please complete all required fields below to register your membership with Vanuatu Red Cross Society.

Full Name *

Title

I prefer to be known as

Gender *

Home Address *

Suburb & Town/City *

Email Address *

Mobile Telephone *

Work Telephone

Preferred contact method (please circle) *

Phone

Are you currently employed by Vanuatu Red Cross? *

Yes

I have / have not been convicted of a crime *

* this question is optional, but your answer helps us keep good records.

I have been convicted

I have not been convicted

Prefer not to answer

I understand that I must follow the Fundamental Principles of the Red Cross and Red Crescent Movement and Vanuatu Red Cross's Constitution, Code of Conduct and Rules of Procedure.

I affirm the Fundamental Principles of the International Red Cross and Red Crescent Movement that require me to:

•have concern for all humanity;
•be impartial in my endeavours;
•remain neutral in all situations;
•be independent so I can always act in accordance with our principles;
•promote the spirit of voluntary service;
•foster unity;
•strive for universality.

I understand and agree to follow the Fundamental Principles and requirements stated above *

Signature (Type your full name) *

Date *

For those aged between 12 and 18 years please sign with parental consent

By signing the above form you are confirming that parental consent has been given. If under 12 years, please have a parent or guardian sign this application form.

I am under 18 years old and require parental/guardian consent

Become a member

Membership Registration Form

For those aged between 12 and 18 years please sign with parental consent

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