Volunteer Registration Form
Full Name
*
First Name
Middle Name
Last Name
City of residence
*
Kitchener
Waterloo
Cambridge
Other
Gender
*
Male
Female
Other
Please indicate your age category
*
Under age 18
Ages 18 – 24
Ages 25 – 34
Ages 35 – 44
Ages 45 – 54
Ages 55 – 64
Ages 65+
Other
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
What volunteer position are you interested in?
Submit
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