Personal Info

First Name:
Last Name:
Gender:
Age Range: 12-19    20-35    36-49    50 and over
ID Photo:
(jpg, jpeg extension images)
 
Address: Street: City/Town:
  Province:  Postal Code: 
 
Primary Phone #:
Alternative Phone #:
Email:
Confirm Email:
 
Emergency Contact: How are you related to them?
Emergency Phone #1: Emergency Phone #2:

Volunteer Info

Specify Uniform (Unisex Size)
Volunteer Job Choice 1:
Volunteer Job Choice 2:

Please check the statement(s) that apply

I am interested in volunteering pre-games.
I am interested in volunteering post-games.

If you are willing to volunteer during the games please select which days.
(To select more than one day hold the Ctrl Key down while clicking on the interests.)

What time(s) of the day do you prefer to work?
(Check all that apply)

Mornings Afternoons Evenings  
 

Please check the statement(s) that apply

I have a valid drivers license.
   Specify Class  
I have a clean drivers record.
I am currently assigned to or working on a committee?
   please specify which committee  

Please list any special needs or medical conditions.
Please indicate any experience or special skills you have.
Enter any additional comments that you feel are relevant.( characters remain)

Privacy Act & Release

The Moose Jaw 2010 Saskatchewan Winter Games will protect your personal information & adhere to all legislative requirements to your privacy. We will use your personal information to provide services to keep you informed & up to date on the activities of the Moose Jaw 2010 Saskatchewan Winter Games.

I, the undersigned, hereby release, discharge & indemnify the Moose Jaw 2010 Saskatchewan Winter Games from all liability for injury to person or damage of property of myself.

I Agree     I Don't Agree

Note: A security check may be required if assigned to certain areas.