Alberta Games Volunteer Registration

Personal

Last Name **

First Name **

Birth Date **

mm/dd/yyyy

Gender

Male

Female

Address **

Community **

Province **

Postal Code **

A1A 1A1
Postal code prefix requires the format A1A.
Post code must end in the format 1A1.

Home Phone **

### ### ####
Home phone must start with 3 digits.
Home phone must end with 4 digits.

Work Phone

### ### ####
Work phone must start with 3 digits.
Work phone must end with 4 digits.

Cell Phone

### ### ####
Cell phone must start with 3 digits.
Cell phone must end with 4 digits.

E-Mail

Emergency Contact/Relationship **

Emergency Contact Phone **

### ### ####
Emergency phone must start with 3 digits.
Emergency phone must end with 4 digits.

Drivers License #

License Class

Medical Conditions

Committee Preference

First Committee Choice **	Select your first committee preference.
Second Committee Choice **

Availability

Days Available

All of Games

Pre-Games

During the Games

Post Games

Disclaimer

I hereby agree that the personal information on this form is collected under the authority of the Freedom of Information and Protection of Privacy Act and will be used for the purposes related to the appointment of volunteers to the 2012 Alberta Summer Games. Information may not be disclosed outside the operation of these Games. I understand that my volunteer duties may require a police check and/or driver's abstract. All volunteers under the age of 18 must have parental consent before submitting an application to volunteer. If you have any questions about the collection and use of this information, contact the 2012 Alberta Summer Games office at (403) 320-7766.