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Volunteer Information

Youth Volunteer Leadership Program Application

Thank you for your interest in volunteering for camps with the Township of Wilmot!

Please ensure you have read and understand the conditions of becoming a Camp Volunteer below.

March Break Camps:

All applicants must be 13 to 19 years of age. (Must have completed Grade 7)
Volunteers must be available for the full week of March Break (March 10 through 14)
I can attend evening training on March 7, 2025 from 4:30 p.m. to 7:00 p.m.

Summer Camps:

All applicants must be 13 to 19 years of age. (Must have completed Grade 7)
Priority will be given to volunteers who are available for more than one week
I can attend the full day training (2025 dates to be determined)
I can attend the Safeguard Training and 3-hour orientation (2025 dates to be determined)
I have read and understand the expectations of becoming a Summer Camp Volunteer with the Township of Wilmot.

Volunteer Release

By completing and submitting this form I hereby apply to Township of Wilmot to serve as day camp volunteer. I certify that all of the information provided by me on this form is correct and true.

I understand that the act of applying does not guarantee a volunteer position and that the Township of Wilmot reserves the right to decline an application for any reason.

First Name

Last Name

Address

City

Postal Code

Primary Phone Number

Alternate Phone Number

Email Address

Age

Birth Date

Health Card Number

Doctor's Name

Doctor's Phone Number

Please list any health or learning concerns we should be made aware of.

Availability

Which camp(s) are you interested in?

March Break Camp

Summer Camp

Tell us why you want to volunteer for day camp.

Emergency Contact Information

First and Last Name

Phone Number

Relationship

First and Last Name

Phone Number

Relationship

Parent/Guardian Information

First Name

Last Name

Address

City

Postal Code

Primary Phone Number

Work Phone Number

Email Address

Parent/Guardian Consent And Waiver

For volunteers under the age of 18 years of age.

In order for your child to volunteer independently with the Township of Wilmot, they must be at least 13 years old and have completed grade 8. Should you have any questions about the Youth Leadership Volunteer program, please contact the Supervisor of Recreation Programming at 519‐634‐9225 ext. 9361.

I understand that my child (named above) wishes to be considered for volunteer work with the Township of Wilmot, Programs Division and I hereby give my permission for them to serve in that capacity, if accepted by the agency.

I understand that they will be provided with orientation and training necessary for the safe and responsible performance of their duties and that they will be expected to meet all the requirements of the volunteer position, including regular attendance and adherence to agency policies and procedures.

I understand that they will not receive monetary compensation for the services contributed.

I agree to assume and accept all liability and responsibility for the actions of my child resulting from their activity as a volunteer with the Township of Wilmot. I further understand that I may revoke this Parental Consent at any time by providing written notice of revocation of parental consent to the Township of Wilmot, Wilmot Recreation Complex to the address listed below.

I hereby confirm my child’s agreement as expressed above with Township of Wilmot, Programs Division, and grant my consent to the collection of any of my child's personal information which they may provide to you. I further confirm that I am myself over the age of 18 years.

I, the parent/guardian of the applicant, certify that all information contained within this application is truthful and accurate, and that I understand what my youth is applying for.

First and Last Name

Parent/guardian signature

Clear

Any personal information that is collected is done in accordance with Sections 27, 28, 29 and 30 of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and will be used to contact you concerning the information you provided regarding the Youth Volunteer Leadership Program Application. Questions about this collection should be directed to:

Director of Community Services
Township of Wilmot, Administrative Complex
60 Snyder's Road West
Baden, Ontario N3A 1A1
519-634-8444
communications@wilmot.ca

Contacts