London-Middlesex Children's Water Festival Volunteer Registration Form
May 14th - 17th, 2019. Fanshawe Conservation Area, London
Full Name *
Your answer
Email *
Your answer
Home/Cell Phone *
*in case of cancellation
Your answer
Your answer
Work Phone
Your answer
Emergency Contact (Name) *
Your answer
Emergency Contact (Phone Number) *
Please provide a main contact and an alternet contact number.
Your answer
Dietary Requirements
Your answer
Relevant Experience
Your answer
I CAN VOLUNTEER AT THE FESTIVAL- with the following activities: *
Check all that apply.
I would like to be at the following Activity Station:
Your answer
I CAN VOLUNTEER at the following times: *
Thursday May 16th is a Bilingual Day. If you are French speaking, please attend on this day.
Entire Day (8:00am - 2:30pm)
Morning (8:00am - 11:30pm)
Afternoon (11:30am - 2:30pm)
Not Available
Tuesday, May 14th
Wednesday, May 15th
Thursday, May 16th (French Day)
Friday, May 17th
I CAN HELP WITH SET UP - at the following times:
Entire Day (9:00am - 4:00pm)
Morning (9:00 am - 1:00pm)
Afternoon (12:00 pm - 4:00pm)
Monday, May 13th
I CAN HELP WITH TAKE DOWN on Friday, May 17th:
I CAN HELP WITH THE FAMILY NIGHT - Thursday, May 16 4:00 - 8:30 pm *
Informed Consent Agreement *
I hereby acknowledge that certain RISKS OF INJURY are inherent to participation in any activity. This includes the activity in participating in the London-Middlesex Children's Water Festival held at Fanshawe Conservation Area. Types of injuries may be minor or serious and may result from one’s own actions, or the actions or inactions of others, or a combination of both. Notwithstanding this acknowledgement, I hereby release the Upper Thames River Conservation Authority and all other partners and their employees, servants or agents while acting within the scope of their duties. I declare having read and understood the above Waiver of Liability and Assumption of Risk in its entirety and hereby consent to participate acknowledging all of the foregoing. I understand that I will not receive any remuneration, salary, wage or payment or any employee benefit whatsoever, or be covered by Worker’s Compensation Benefits.
I am: *
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