Registration

Please complete the form to get started

Register

1. Personal Information

Salutation:
* First Name:
* Last Name:
* Home Address:
* City:
* Province:
* Postal Code:
* Home Phone: ###-###-####
Cell Phone: ###-###-####
Email
Email will be used as the primary mode of contact. Please check your email regularly for updates and further information. If you do not have an email address, a Games representative will be in touch via phone
* Emergency Contact Name
* Emergency Contact Phone
* Age
(As of December 31, 2016)
* Student
* Do you have a valid Driver's License
Class of Licence
* Access to a Vehicle
Shirt Size
* Valid First Aid/CPR Certificate
Expiry Date
Do you speak French?
Are you volunteering with/through a local sports club/team or high school? If so, which organization(s)?
What is your previous work or volunteer experience?
Please provide any information that will better assist our volunteer team in assiging and scheduling you as a volunteer for the Games. – include skills/expertise/qualifications
Please Identify Any Physical/Health Restrictions (including allergies)
Please provide any additional information that will better assist our volunteer team in assigning and scheduling you as a volunteer

2. Event Details

* Area of Volunteer-Tasks (Please check all that apply)
Ceremonies & Special Events - General Tasks Food Services - General Tasks Games Headquarters - Results Games Headquarters - General Tasks
Information Tables - Information Ambassadors Language Services - Interpretation service in French Medal Ceremonies - Assist with Presentations Media & Promotions - General Tasks
Medical (Must have valid First Aid & CPR Certification) Accreditation - Accreditation and Kit assembly Shuttle Car - Drivers Signage Coordinator - Creation, distribution and placement of signage
Sport - Scorekeeper / Timekeeper Sport - Official Sport - General Tasks Transportation - General Tasks
Sport Events:
Any Sport Alpine Ski - Brimacombe Badminton - Cobourg Collegiate Institute Curling - Brighton & District Curling Club
Curling - Jack Heenan Arena Duplicate Bridge - Columbus Community Centre Ice Hockey - Cobourg Community Centre Ice Hockey - Memorial Arena
Nordic Skiing - Ganaraska Forest Centre Prediction Skating - Cobourg Community Centre Table Tennis - Lions Community Centre Ten Pin Bowling - Lakeview Bowl Peterborough
Volleyball - Cobourg Community Centre Volleyball - St. Mary's Secondary School

3. Availability

Tuesday, February 21st
Any Time Morning (8:00 a.m. to 12:00 p.m.) Afternoon (12:00 p.m. to 5:00 p.m.) Evening (6:00 p.m. to 9:00 p.m.)
Not Available
** Shift times are approximates - actual shifts are dependent on sport schedules and needs of the Games
Wednesday, February 22nd
Any Time Morning (8:00 a.m. to 12:00 p.m.) Afternoon (12:00 p.m. to 5:00 p.m.) Evening (6:00 p.m. to 9:00 p.m.)
Not Available
** Shift times are approximates - actual shifts are dependent on sport schedules and needs of the Games
Thursday, February 23rd
Any Time Morning (8:00 a.m. to 12:00 p.m.) Afternoon (12:00 p.m. to 5:00 p.m.) Evening (6:00 p.m. to 9:00 p.m.)
Not Available
** Shift times are approximates - actual shifts are dependent on sport schedules and needs of the Games
* Are you interested/available to help prior to the Games?

4. Newsletter

I give permission for The Corporation of the Town of Cobourg, the Ontario Senior Games Association and the Province of Ontario to save my information for purposes of contacting me for future volunteer opportunities
I would like to receive Ontario 55+ Winter Games related newsletters and updates

5. Consent

* I permit the Province of Ontario, Ontario Senior Games Association,  the Town of Cobourg and the Games Organizing Committee for the 2017 Ontario 55+ Winter Games and their agents to use any photographs, video tape or other media of me taken during the 2017 Ontario 55+ Winter Games and related activities for purposes of promoting, administering and managing current and future Ontario 55+ Games and related events.

* I understand I may be required to submit and pass a vulnerable sector screening and/or a criminal record check of which information that can be legally disclosed will be made available to relevant parties such as the Province of Ontario, the Ontario Senior Games Association, the Town of Cobourg, the Games Organizing Committee of the 2017 Ontario 55+ Winter Games and appropriate authorities.

* Personal information contained on this form is collected for the exclusive use of the Province of Ontario, the Ontario Senior Games Association, the Town of Cobourg and the Games Organizing Committee of the 2017 Ontario 55+ Winter Games. Information will be used to contact you to volunteer for the event, and if you provided consent, to contact you for other volunteer opportunities. Questions about this collection of personal information can be directed to:

Event Assistant 
c/o Town of Cobourg
50 D'Arcy Street,
Cobourg, Ontario, K9A 0G1
905-372-7371 Ext. 8408
klitt@cobourg.ca

* Should you wish to revoke your consent for each of the aforementioned items, you can do so at any time by contacting the following:

Before and during the Games:
Town of Cobourg
905-372-7371 Ext. 8408
klitt@cobourg.ca

After the Games:
Ontario Senior Games Association
905-232-8581
info@ontarioseniorgames.ca

Or

Ministry of Tourism, Culture and Sport
416-314-8110
Games.Ontario@ontario.ca

 

* I agree and consent to the above
Signature of Parent or Guardian
A parent or guardian's signature is required for volunteers 17 and under. By signing this, I hereby give permission to the applicant to participate as a volunteer for the 2017 Ontario 55+ Winter Games.
Date