2010

Application of Volunteer Service

T- shirt size: _______

_{First Name: _________________________ Last Name: __________________________________}

_{Address: ___________________________________ City: _____________________________}

_{Postal Code: __________ Phone: __________________email:______________________________}

_{Are you under the age of 18? Yes No ( If yes birth date: ______________ )}

_{Are you currently an ACTIVE Fort Erie Festivals Volunteer? Yes No if yes, # _____of yrs}

_{What Jobs were you involved in/or are you interested in? __________________________________}

_{__________________________________________________________________________________________}

_{Availability ( circle) Set-up: Mon June 28 Tues June 29 Wed June 30}

_{Canada Day: Thurs July 1}

_{Festival: Fri July 2 Sat July 3 Sun July 4}

_{Tear-down: Mon July 5 Tues July 6}

Emergency Contact: _______________Phone #: __________________ Relationship: ________________

_{o you have:CIRCLE}

_{First Aid? Yes No CPR? Yes No Smart Serve? Yes No}

_{Driver’s License? Yes No Are you willing to allow a Police Check? Yes No}

_{Any health related restrictions? Yes No}

_{If YES, please specify_______________________________________________________________}

_{I, the undersigned, understand and recognize that participation in the above noted activity involves potential risk, I HEREBY PERSONALLY UNDERTAKE}

_{to act in a responsible and safe manner at all times and hereby agree to indemnify the Fort Erie Festivals from any claims or damages caused as a result of my negligence while acting as a VOLUNTEER. In return, the Fort Erie Festivals agrees to keep in force Insurance for benefits of its volunteers. Volunteers are protected under the Fort Erie Festivals liability insurance while acting within the scope of their duties.}

_{Volunteer Signature ______________________________________ Date:________________________}

_{Parent/Guardian Signature__________________________________ (if under 18 years of age)}

_{Please Return to: P.O. Box 1241, Fort Erie, ON L2A 5Y2}

_{Tel: (905) 871-6454 Fax: (905) 871-1266}

_{Email: info@friendshipfestival.com www.friendshipfestival.com}