Operation Red Nose St-Malo Volunteer Registration Form
Please have your valid Manitoba driver's license (or other acceptable form of ID) ready when filling out this form.
It will take approximately 5 minutes to complete.
Your registration confirmation will be emailed to you.
Sign in to Google to save your progress. Learn more
Email *
Full name as it appears on your ID (driver's license).  *
Date of Birth (MM/DD/YEAR) *
Telephone number (cell)  *
(Your volunteer details will be texted to this cell number closer to your volunteer date. If you do not have a cell, please type "no cell".)
Telephone number (home) 
Address (Physical, Mailing, Town, Province, Postal Code)  *
Ride nights you are available to volunteer *
If you select multiple dates, our volunteer coordinator will be in touch with you to confirm your night(s) 
Captionless Image
Are you registering as  *
If you registered as a ride team, please indicate the 2 (or 3) others on your team
Note: each ride team member must fill out their own individual volunteer registration forms
Volunteer duties you are interested in *
Driver's license number (9 digits)  *
Driver's license expiry date (MM/DD/YEAR) *
Do you drive standard? *
Do you have any license restrictions? *
If you aswered yes to the above question, please indicate the restrictions. 
Please read the below carefully and answer the questions truthfully to self-declare your criminal record.  *
If the statement is correct, check the box. 
If you have been convicted of a criminal offence, and/or are subject to one or more pending charges or court orders, please provide details below. 
Offence/charge/order, date, place of the event
Authorization, consent and declaration *
By checking the box, you authorize the corresponding statements. Operation Red Nose reserves the right to terminate volunteer participation for current and future compaigns. 
By checking the Yes checkbox you are indicating that all of the above information is true. 
The Yes confirms your electronic sign-off of the information you filled out on this form. 
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy