NAME *

First Name

Last Name

ADDRESS

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PHONE

(###)

###

####

EMERGENCY CONTACT PHONE *

(###)

###

####

VOLUNTEER OPTIONS

What volunteer activities you might be interested in participating?

Administration Support

Events

Sports Programs

Fundraising

Field Work

Volunteer Coordination

AVAILABILITY

Number of hours available to volunteer each week

1-5

5-10

10-15

15-20

AGREEMENT *

As a volunteer of Somali Canadian Association of Waterloo Region (SCAWR), I agree to abide by policies and procedures. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume any responsibility for any liability for any accident, injury and health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is volunteer basis.

YES

NO