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Canada Day Celebration 2019

Volunteer Application Form

Monday July 1st, 2019
Steve Brown Sports Complex/ Lions Park

Medical Conditions

We ask that you provide any relevant medical information to ensure all volunteers have a safe experience, and to aid in case of emergency. (i.e. Allergies, Medication)

Please fill in the information below indicating the times you are available to volunteer along with your job preference(s). We will do our best to accommodate your requests.

NOTE:

Shifts are a maximum of 8 hours. No applications will be accepted after Thursday June 27th at noon.
Mandatory Volunteer Training will take place Friday June 28th – 6:00pm at Lions Park Arena.

Note: We will do our best to accommodate shirt sizes, a shirt size cannot be guaranteed for you.

Agree to Terms

I understand and assume all risks and hazards incidental to my participation, including transportation to and from the activities and I waive, release, absolve of indemnity and agree to hold harmless the City of Brantford, their respective officers, employees, other participants, and sponsors, for any claim arising out of an injury or accident.

Photo Release

I give permission for my photograph to be used by the Parks and Recreation Department, in the event of any publicity involving the activity of the Parks and Recreation facilities or promotional materials used by the Parks and Recreation Department, which may include media uses i.e. Brantford Expositor, Rogers Cable etc.

Photography Terms and conditions

By signing this form I am acknowledging that there will be no monetary compensation or free use of facilities, for the use of any photograph(s).

If applicant is under 18, a parent/guardian must agree to these terms and conditions.

Note: If applicant is under the age of 18, a parent/guardian will be required to sign a hard copy, photo release form during the training session on Friday, June 28th, 2019.

Contact Information In Case of Emergency (in case of accident of illness)

Personal information on this form is collected under the authority of Section 10(1) of the Municipal Act, 2001, S.O. 2001, c.25, as amended and will be used to contact you concerning your service request/inquiry to the City of Brantford. Questions about this collection should be directed to:

City of Brantford - Community Events Coordinator 
C/O 1 Sherwood Drive
Brantford, ON N3T 1N3 
Telephone: 519-756-1500 
Email: canadaday@brantford.ca