Haldimand County Community Development and Partnerships Division - Volunteer Application Form

Applicant Name*

First Last

Date of Birth*

* Volunteers must be at least 12 years of age* (Aquatic Volunteers must have completed Swimmer 6 or equivalent) Parent/Guardian Signature required if under 16 years of age.

Address*

Street Address Address Line 2 City Province Postal Code

Phone*

Email*

Previous Work/Volunteer Experience

Please list all previous work/volunteer experience.

Volunteer Options

Would you like to volunteer with Haldimand County Camps, Aquatics or Both?*

Select All
Camps
Aquatics

Where would you like to Volunteer*

When would you like to be a Volunteer*

Select All
March Break
Summer Day Camps

Which weeks of Summer would you like to Volunteer*

Camps usually begin after Canada Day and end in August before Labour Day.

What Camp(s) are you interested in Volunteering at?*

Please indicate the highest level of swimming completed*

When are you available to Volunteer*

Select All
Mornings
Afternoons

* Mornings 9am-12pm, Afternoons 4pm-6pm. Times may vary per location*

Which FULL week sessions are you available for?*

Sessions are Monday-Friday beginning the first week in July

Teacher Reference Name

First Last

Teacher Reference Phone Number

Photo Release*

I agree to Photo Release.

I give my permission to Haldimand County to photograph me or my children participating in the programs. Photos will be used for the purpose of promoting Haldimand County Community Development and Partnerships Division Programs and services.

Signature of Applicant*

Date*

Parent/Guardian Name

Required for applicants under the age of 16.

First Last

Signature of Parent/Guardian

Required for applicants under the age of 16

Date

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Haldimand County Community Development and Partnerships Division – Volunteer Application Form

Previous Work/Volunteer Experience

Volunteer Options

Public consultation: Dunnville downtown street tree planting design

Public Consultation: Community & Recreation Facilities Strategy drop-in sessions (April 4 & 5)

Sign up now for property tax eBilling!

Partial Road Closure: Main Street West, Dunnville – April to September 2022

About Haldimand County

Administrative Building

Phone Numbers

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