Greater Victoria Green Team Volunteer Registration Form PARENT / GUARDIAN TEMPLATE Header Image

Participant Contact Information

* Indicates required field

Volunteer = name of child participating in program

Volunteer name (name of child)*
If volunteer has no email. Please use email of guardian.
Address
(Area Code) XXX-XXXX
Birthday*
month/day/year (we are mainly interested in the year to determine liability)

Emergency Contact

First and last name
(Area code) XXX-XXXX
Sign up Date

How did you hear about us?

This information will help us create a great outreach plan, so more people can hear about us!

Please be specific

More about you! (optional)

Personal Information Consent

I consent to collection and use of my personal information so Green Teams of Canada (GTC) can track our relationship and communication with me. I consent to this disclosure. I understand that this consent may be withdrawn at any time by notifying GTC in writing.

I have read the above statement and consent*