Personal
Last Name **
First Name **
Birth Date **
mm/dd/yyyy
Gender
Address **
Community **
Province **
Postal Code ** A1A 1A1    
Home Phone **  ### ### ####    
Work Phone  ### ### ####    
Cell Phone  ### ### ####    
E-Mail
Emergency Contact/Relationship **
Emergency Contact Phone **  ### ### ####    
Drivers License #
License Class
Medical Conditions
Committee Preference
First Committee Choice **
Second Committee Choice **
Availability
Days Available


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 2014 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.