Haldimand County Community Development and Partnerships Division - Volunteer Application Form

Applicant Name*
First Last
Date of Birth*
MM slash DD slash YYYY

* Volunteers must be at least 12 years of age* (Aquatic Volunteers must have completed Swimmer 6 or equivalent) Parent/Guardian Signature required if under 16 years of age.
Address*
Street Address Address Line 2 City Province Postal Code
Phone*
Email*
Previous Work/Volunteer Experience
Please list all previous work/volunteer experience.
Volunteer Options
Would you like to volunteer with Haldimand County Camps, Aquatics or Both?*
- Select All
- Camps
- Aquatics
Where would you like to Volunteer*
- Select All
- Caledonia
- Cayuga (Camps ONLY)
- Dunnville
- Hagersville
- Jarvis (Camps ONLY)
When would you like to be a Volunteer*
- Select All
- March Break
- Summer Camp
Which weeks of Summer would you like to Volunteer
- Select All
- Week 1, July 4 - July 7 (Short Week)
- Week 2, July 10 - July 14
- Week 3, July 17 - July 21
- Week 4, July 24 - July 28
- Week 5, July 31 - August 4
- Week 6, August 8 - August 11 (Short Week)
- Week 7, August 14 - August 18
- Week 8, August 21 - August 25
- Week 9, August 28 - August 30 (Short Week)
Camps usually begin after Canada Day and end in August before Labour Day.
What Camp(s) are you interested in Volunteering at?*
- Select All
- HaldiFUN
- Sport Adventure Camp
- Creative Campers
Please indicate the highest level of swimming completed*
When are you available to Volunteer*
- Select All
- Mornings
- Afternoons
* Mornings 9am-12pm, Afternoons 4pm-6pm. Times may vary per location*
Which FULL week sessions are you available for?*
- Select All
- Week 1, July 3 - July 7
- Week 2, July 10 - July 14
- Week 3, July 17 - July 21
- Week 4, July 24 - July 28
- Week 5, July 31 - Aug 4
- Week 6, Aug 7 - Aug 11
- Week 7, Aug 14 - Aug 18
- Week 8, Aug 21 - Aug 25
Sessions are Monday-Friday beginning the first week in July
Teacher Reference Name
First Last
Teacher Reference Phone Number
Photo Release*
I agree to Photo Release.
I give my permission to Haldimand County to photograph me or my children participating in the programs. Photos will be used for the purpose of promoting Haldimand County Community Development and Partnerships Division Programs and services.
Signature of Applicant*
Date*
MM slash DD slash YYYY
Parent/Guardian Name
Required for applicants under the age of 16.
First Last
Signature of Parent/Guardian
Required for applicants under the age of 16
Date
MM slash DD slash YYYY

Haldimand County Community Development and Partnerships Division – Volunteer Application Form

Previous Work/Volunteer Experience

Volunteer Options

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About Haldimand County

Administrative Building

Phone Numbers

Weather