Volunteer Form

Eastern Ontario Stewardship Collaborative

Volunteer Information and Waiver Form

(Note: this form only needs to be filled out once per volunteer. If you volunteer multiple times, you do not need to fill out this form again.  This form can be e-mailed to you upon request.)

Name:  

Phone number:

E-mail address:

Are you 18 years of age or older?

If no, please provide the name of guardian:

Are you affiliated with a particular organization? (e.g. school, other NGO, etc.)  If so, which?

Why do you want to volunteer with EOSC? (in 100 words or less, use back of page if required)

Do you have any special needs, allergies or other concerns that we should be aware of? (we will not share this information with others unless in an emergency)


Emergency contact:

By signing below, I agree that I will not hold Eastern Ontario Stewardship Collaborative, Ducks Unlimited, its employees, directors, volunteers or partners (including landowners) responsible for any injury or loss that is incurred while volunteering with us.

____________________________        ____________________________          _______________

Signature of volunteer                               Signature of guardian (if applicable)             Date

Days volunteered will be filled out below by coordinator for our records.

Date	Event/location	Hours	Comments/notes