Walk Event Day Volunteer Application Form

Walk To Make Cystic Fibrosis History Event Day Volunteer Application Form

Thank you for your interest in volunteering at the Walk To Make Cystic Fibrosis History on Sunday, May 26th, 2024. Accessibility is important to Cystic Fibrosis Canada. If you require accommodations for this application process please reach out to accessibility@cysticfibrosis.ca or call 1-800-378-2233. Please note you must be 14 years or older to volunteer at Walk. This form may be shared with leadership volunteers for the purpose of communicating and scheduling your shift at Walk.
Full Name

First/Given NameLast Name/Family Name/Surname
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal CodeCountry
Province
Please indicate your availability to volunteer on Sunday, May 26. Choose all that apply:
We have a range of roles on Walk day. Please check all that interest you. Note: we do not guarantee shift assignments but will do our best.
Some tasks at Walk include lifting. Are you comfortable lifting a maximum of 10 kg/22 lbs? Note: lifting is not a requirement to volunteer at Walk. This question will help us assign you tasks you are most comfortable with.
I'd like to be scheduled with my friend(s) and/or family.
If you said yes to being scheduled with friend(s) and/or family, please indicate their names. Note: everyone who wants to volunteer at Walk must register individually and must be 14 yrs or older.
Friend(s) and/or family names you want to be scheduled with. Please ignore if this does not apply to you.
Based on your province/territory selection, we do not currently have an in-person Walk near you. Please indicate which Walk location you're interested in volunteering with:
Please identify your preferred Walk location in Alberta:
Please identify your preferred Walk location in British Columbia:
Please identify your preferred Walk location in Manitoba:
Please identify your preferred Walk location in New Brunswick:
Please identify your preferred Walk location in Newfoundland & Labrador:
Please identify your preferred Walk location in Nova Scotia:
Please identify your preferred Walk location in Ontario:
SCHEDULE FULL

Please note you have selected an event that has a full schedule of volunteers. You will be placed on our waitlist. Should we have cancellations, we will be sure to contact you. Alternately, you may choose another nearby Walk to apply with.
Please identify your preferred Walk location in Quebec:
Please identify your preferred Walk location in Saskatchewan:
How did you hear about this volunteer opportunity?

Other
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
AODA Positive Interactions: Please review the overview to help you provide effective and respectful service at Walk to people with disabilities. If you need to make this document larger, click the + sign or the icon to the right of the + sign.
Policies for Volunteers - Please review the policies carefully. If you need to make this document larger, click the + sign or the icon to the right of the + sign.
Liability Waiver

I waive and release any and all claims for myself, my heirs, executors and administrators against Cystic Fibrosis Canada and any other sponsor or organization involved, from any and all claims or liability for death, personal injury or property damage of any kind however caused, including any claim or liability arising from the negligence of Cystic Fibrosis Canada, its agents, servants, or employees and of any person on site, arising out of, or in the course of, my participation as a volunteer for which I choose to participate. This Release and Waiver extends to all claims, foreseen or unforeseen, known or unknown.
Agreement:

(14 -17 years of age) I confirm that I am at least 14 years of age. Although I am not legally able to sign waivers, I acknowledge my understanding that volunteering may present risks to me and am choosing to volunteer of my own free will. I confirm I have read and understand the liability waiver provided. I agree to abide by the AODA Positive Interactions standards and the Cystic Fibrosis Canada policies for volunteers. Additionally, I confirm that I have informed and received support from my parent/ guardian to volunteer and have had them review and sign off on my application form. By submitting this form, I acknowledge that the information provided is accurate.
STORY/PHOTO/VIDEO/IMAGE RELEASE FORM I hereby grant Cystic Fibrosis Canada the right to use the materials enclosed and/or attached and/or discussed, including my name, picture, portrait, photograph, image, film footage, or voice in all forms and media, at any date in time. I agree to waive any right to inspect or approve the finished product of myself, or of my children, produced for promotional purposes, public awareness, and/or advocacy initiatives for cystic fibrosis, including work produced by any outside source (e.g. production company, television news station, website developer, designer). I acknowledge and understand that any material posted to the Internet is accessible to anyone and that Cystic Fibrosis Canada cannot guarantee privacy of the material once posted online. I also acknowledge and understand that this releases Cystic Fibrosis Canada, or any outside source, of all monetary obligations or payments to me or my children, for use of the material mentioned above.
Please verify that you are human
Parental/Guardian sign-off if applicant is 14 - 17 years old:

By signing below, I, the undersigned, certify that I am the parent or legal guardian of the applicant, and as such on behalf of myself and the applicant, acknowledge that the information provided is accurate and agree to allow the applicant to become a volunteer with Cystic Fibrosis Canada.

I confirm the applicant is at least 14 years old.
Parent/Guardian Full Name:

First/Given NameLast Name/Surname/Family Name
Parent/Guardian Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email:
example@example.com
Should be Empty:

Walk To Make Cystic Fibrosis History Event Day Volunteer Application Form

SCHEDULE FULL

Liability Waiver