Required fields are marked with asterisks (*)

Aquatic Volunteer Application

Thank you for your interest in volunteering at the Wilmot Aquatic Centre!

Please ensure you have read and understand the expectations of becoming an Aquatic Volunteer with the Township of Wilmot.

Volunteer Release

By completing and submitting this form I hereby apply to Township of Wilmot to serve as an Aquatic 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/ Town

Postal Code

Phone number

Alternate phone number

Email address

Emergency Contact Name

Phone number

Relationship

Second Emergency Contact Name

Phone number

Relationship

Are you between 13 (completed grade 8) and 17 years of age?

Yes

Do you hold Swimmer 11/ Star Patrol?

Yes

Do you hold a Bronze Star certification or higher?

Yes

Is this to complete your swim apprentice hours?

Yes

Is this to complete your High school volunteer hours?

Yes

Do you agree to the cell phone usage expectations outlined on the website?

Yes

Do you agree to the training expectations outlined on the website?

Yes

Please select the season you are applying for. You must complete an application for each session you wish to attend.

Adapted Aquatics (Fall Late September to December)

Fall (Late September to December)

Summer (July and August, there are weekly and daily sessions)

Spring (Late March to June)

Winter (January to March)

Please list the days of the week as well as start and finish times that you are available to volunteer.

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 Aquatic Volunteer program, please contact the Aquatic Supervisor at 519‐634‐9225 ext. 9338.

I understand that my child (named above) wishes to be considered for volunteer work with the Township of Wilmot, Aquatics 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 Aquatic Centre to the address listed below.

I hereby confirm my child’s agreement as expressed above with Township of Wilmot, Aquatics 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.

Parent/guardians 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 Aquatic Volunteer 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

Form Builder

Aquatic Volunteer Application

Thank you for your interest in volunteering at the Wilmot Aquatic Centre!

Volunteer Release

Parent/Guardian Consent and Waiver