Volunteer Prep Course Registration

Registration is not complete until we receive payment. Payment instructions (by bank transfer, credit card or cheque) will follow after you complete this form.

Volunteers must be age 13 (or completing grade 8), 14 or 15 by July 1, 2018.

Although parents may assist in completing this form, please note that we will communicate (by email) primarily with the volunteer and use the contact information provided on this form. This is part of the volunteer training and an effort to start teaching responsibility. We will only email parents when the volunteer is not responding.

Course Participant Information

Male Female
Volunteer Name: (first and last)	(required)
Volunteer Email:	(required)
Volunteer Telephone (cell with area code):	(required)
Volunteer Birthdate (dd/mm/yyyy):	(required)
Volunteer Current age: (today)	(required)
Parent Email:	(required)
Parent Telephone (home or cell - with area code):	(required)

Course date (pick one)

Sat. Apr. 14 and Sun. Apr. 15, 2018 Kanata Recreation Complex - Hall D, 100 Charlie Rogers Pl, Kanata, ON K2V 1A2, 10:00 am. to 4:00 pm both days. (12 hours total) $249.00 (taxes included) Lunch and snacks will be provided)

Sat. Apr. 28 and Sun. Apr. 29, 2018 Walter Baker Sports Centre - Room 202 100 Malvern Dr, Nepean, ON K2J 2G5 10:00 am. to 4:00 pm both days. (12 hours total) $249.00 (taxes included) Lunch and snacks will be provided)

Registration is not complete until we receive payment. Payment instructions (by bank transfer, credit card or cheque) will follow after you complete this form.