YOUTH AND PARTICIPANT REGISTRATION FORM

Grandview-Woodland Community Policing Centre

1977 Commercial Drive Vancouver BC V5N 4A8

Telephone 604 717-2932
YOUTH PARTICIPANT REGISTRATION FORM
Date of Application

MonthDayYear
Date
Date of Birth YYMMDD

MonthDayYear
Date
Name of Participant
Address
City
Province
Home Phone
Cell Phone
Email
example@example.com
Do you have any health concerns we should know about If so please explain
Emergency Contact Person
Phone Number
I understand there are risks associated with performing this actiity as a volunteer. I have read and understood the Health & Safety procedures for this activity and will work in a safe manner.

I understand that as a volunteer I may be photographed during the course of volunteer activities and that these photos may be used in promotional materials, on the GWCPC website, or other social media to showcase GWCPC activities.
Signature of GWCPC Volunteer Participant

Clear
Date

MonthDayYear
Date
Signature of Parent or Guardian

Clear
Date

MonthDayYear
Date
Community Cleanup Responsibilities

Keep your neighbourhood clean but follow these Health & Safety Procedures.
- Wear safety vests for visibility and disposable gloves for hygiene reasons.
- Use tongs or graspers to pick up garbage. DO NOT use your hands.
- If you find needles, report to staff for pick up or note the location for follow-up.
- Always work in pairs (minimum) for safety.
- Clean sidewalks and alleyways DO NOT go on private property!
- Note the location of large garbage items for follow-up (i.e. furniture, mattresses etc.
- If approached/questioned by individuals explain that you are a community policing volunteer cleaning up the neighbourhood. Present them with a GWCPC flyer if necessary.
- Direct all questions to the GWCPC office.
BE AWARE OF TRAFFIC & HAVE A FUN TIME!!!

Keep your neighbourhood beautiful but follow these Health & Safety Procedures Site Safety Rules.
- Report to the activity supervisor on arrival to the event site and before leaving.
- All volunteers and visitors to the site must complete a registration form and read safety information.
- WCB regulations and the GWCPC Safety Policy must be followed on site.
- Personal protective equipment must be used as required by WCB regulations and GWCPC Safety Policy.
- No drugs or alcohol on site or prior to entering site.
- Safety is every worker's responsibility. Report all injuries, safety or environmental issues immediately to the GWCPC activity supervisor.
- All conduct to members of the public and fellow workers must be professional.
- Harassment of any kind will not be tolerated.
- Hand protection and safety glasses required where posted or to meet regulations. Good housekeeping must be maintained at all times.
- Closed toed shoes must be worn at all times.
BE AWARE OF OTHERS & HAVE A FUN TIME!!!
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YOUTH PARTICIPANT REGISTRATION FORM