Petawawa 150th under 18 Volunteer Application
Applicant’s Name: ____________________________________________________________
Contact Information
Mailing address: ______________________________________________________________
Town: ______________________________ Prov.: ____________Postal Code: __________
Email: __________________________________________________________________
Home phone: ________________________ Cell phone: ______________________________
T-Shirt size: ( ) Small ( ) Medium ( ) Large ( ) Extra Large
Emergency Contact
Name: _____________________________Relationship: _____________________________
Home Phone: ________________________ Other Phone: ____________________________
I. Volunteer Talents
A. Which Petawawa 150th volunteer position(s) interest you?
Please see attached for volunteer job descriptions
 Signage
 Accessibility Support
Bike Valet
 Set-up/tear down
 Enviropower
 Greeting
 Green Team
 Parking Assistant
 Other ______________________________________________________________________
C. Do you have any certifications that would be beneficial to the Petawawa 150th?
(Examples: 1st Aid, WHIMS)
Celebrate Petawawa 150th Event Committee
16 Civic Centre Road, Petawawa, Ontario K8H 3H5  Telephone: 613-687-5678 / Fax: 613-687-6746
D. Availability
Number of Community hours needed:
Preferred days and times:
(Check all that apply)
PreCelebration
AM
PM
Friday
Aug. 21
AM
PM
Saturday
Aug. 22
AM
PM
Sunday
Aug. 23
AM
PM
PostCelebration
AM
PM
II. Experience
A. Volunteer or Work Information
Company/Organization: _______________________________________________________
Dates of service: From _______________________ to ________________________________
Contact person: _____________________________ Phone: ___________________________
 Paid employee
 Volunteer
III. Health and Safety
A. Optional
Do you have any medical conditions you would like Petawawa 150th to be aware of?
 Yes  No
If yes, please describe: ____________________________________________________________
Do you require any special accommodations?  Yes  No
If yes, please describe: ____________________________________________________________
Celebrate Petawawa 150th Event Committee
16 Civic Centre Road, Petawawa, Ontario K8H 3H5  Telephone: 613-687-5678 / Fax: 613-687-6746
VI. References
Please list one reference that is not related to you.
Name: _______________________________________________________________________
Phone: ______________________________ Relationship: ____________________________
IV. Declaration
I declare that the information provided and statements made in this application are true
and complete to the best of my knowledge and belief. I also declare that I understand that
the purpose of the training I receive as a Petawawa 150th volunteer is to provide me with
an orientation to my volunteer role and provide a great experience for the patrons coming
to the Celebration.
Signature:________________________________
Date: _____________
Parent/Guardian Signature:____________________
Date: ____________
Please mail or email this form to Shallan at the Parks and Recreation office:
Petawawa Parks and Recreation
Atten: Shallan Dament
16 Civic Centre Rd.
Petawawa, ON
K8H 3H5
[email protected]
Celebrate Petawawa 150th Event Committee
16 Civic Centre Road, Petawawa, Ontario K8H 3H5  Telephone: 613-687-5678 / Fax: 613-687-6746