Volunteer Profile

Thank you for your interest in volunteering with the Gaylord Sports Association! Volunteers are intregral to our programming and we have a variety of volunteer opportunities available. For a list of our general volunteer opportunities, please click here. Feel free to contact us at sports@gaylord.org or 203-284-2772 for more information or with any questions!

I would like to volunteer with the Gaylord Sports Association

If you are interested in volunteering for a specific sport, event or program, please indicate your specific interest here (for example: Triathlon Program, Veteran's Fishing, Cycle Rides, Wheelchair Rugby Tournament):

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Format: (000) 000-0000.

E-mail

example@example.com

Date of Birth

MonthDayYear

What is your gender?

Do you serve or have you served in the military?

Please select your current military status:

What is your service branch?

How would you best describe yourself?

Are you of Hispanic/Latino/Spanish origin?

Emergency Contact

First NameLast Name

Relationship to Participant

Phone Number of Emergency Contact

Please enter a valid phone number.Format: (000) 000-0000.

Are you currently (select all that apply):

Please list your employer and job title:

Where are you going to school? If college, what are you studying?

Where do you volunteer and what is your role?

What group or organization are you a member of?

Why do you want to volunteer with the Gaylord Sports Association?

Please check the areas that you are interested in:

Do you have advanced skills, certifications or expertise in any of the areas above or other sports? If so, please describe:

Are you available to volunteer on the weekdays?

If yes: Days/Times Available:

Are you available to volunteer on the weekends?

Any additional comments on your availability?

COVID-19 VACCINATION: As of 9/7/21, all Gaylord Sports Association volunteers, instructors and coaches must be fully vaccinated and up to date with their COVID vaccine prior to starting their volunteer role per state of Connecticut Mandate. This means volunteers must have received all doses in the primary COVID vaccination series and all boosters, when eligible. “Fully vaccinated” means at least 14 days have elapsed since a person has received the final dose of a vaccine approved for use against COVID-19 by the U.S. Food and Drug Administration, or as otherwise defined by the Centers for Disease Control. Volunteers who are fully vaccinated will be asked to sign an attestation form and provide a copy of their vaccination card(s).

Are you fully vaccinated for COVID-19?

What is the date of your final dose of the COVID-19 vaccine?

Date

Please upload a photo of your COVID Vaccination card.

Please check any of the medical conditions that pertain to you. If checked, Please provide details below:

If any of the above conditions are checked or there are any other medical considerations we should be aware of, please provide details here:

Please tell us about any dietary restrictions or preferences:

Other

Please share with us any additional information that you feel is important for us to know regarding your volunteer role with the Sports Association:

By signing below, I verify that the above information is current and accurate. I understand that the above information will be kept confidential. In order to provide a safe and fun experience your information may be shared with: (1) Sports Association staff, coaches or instructors (2) other adaptive sports programs who will be working with you (3) medical professionals in case of emergency (4) as required for Sports Association grant reports. I understand that it is my responsibility to inform the Sports Association regarding changes to my: (1) contact information such as address, phone and email; (2) medical status including new diagnosis, surgery or medical changes; (3) any other information that is relevant to the safety of myself or others regarding my participation in Sports Association programs.

First and Last Name of Volunteer:

First NameLast Name

Are you your own legal guardian and at least 18 years or older?

If you are not your own legal guardian, your legal guardian or legal representative must sign the waiver and release of liability agreement on your behalf (link to waiver will be provided once this form is submitted). Please provide the following information about your guardian:

Name of legal guardian:

First NameLast Name

Relationship:

Email of legal guardian:

example@example.com

Phone Number of legal guardian:

Please enter a valid phone number.Format: (000) 000-0000.

Signature of Volunteer

All participants, volunteers, and coaches must sign an annual liability waiver and optional media release. Once this form is submitted, please follow the instructions provided to sign the online waiver.

Sports Association Volunteer Profile

Volunteer Information

INTERESTS & EXPERIENCE

AVAILABILITY

Medical Information

Acknowledgment

Liability & Media Waiver