Children's & Youth Services Volunteer/Community Hours Application and Waiver

Have you graduated from Grade 8? If you have not graduated from Grade 8, we encourage you to apply once you have done so.

Name

First NameLast Name

Date

Email

example@example.com

Phone Number

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

What school do you attend?

What grade are you in?

What is your age?

Emergency Contact

First NameLast Name

Relationship to Volunteer

Phone Number

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

Which location would you like to volunteer? (Please check all that apply.)

What evenings are you available to volunteer during the school year? (Please check all that apply.)

What are your interests (music, art, reading, STEM, etc.)?

As a Volunteer, I fully understand and agree to the following:I agree to hold harmless the Library from all claims, demands, causes of action, loss, costs, or damages that the Library may suffer, incur, or be liable for in relation to any injury or property damage I may suffer, or cause in connection with my participation as a volunteer.

I hereby release, waive, and discharge the Library from all liability to my heirs, executors, administrators, and assignees for all loss or damage, and any claims or demands for such loss or damage on account of injury to person or property.

I understand the Ontario Workplace Safety and Insurance Act does not apply to volunteers, and that as a result I am not entitled to make any claims for compensation pursuant to the Ontario.

Signature of Volunteer

If under 18 years of age, a parent or legal guardian is also required to sign.

"I hereby certify that I am the parent/legal guardian of and that she/he has my permission to serve as a volunteer with the Library. As the parent/legal guardian I fully understand and have full knowledge of the nature and extent of the risks involved with his/her participation as a volunteer."

Signature of Parent/Legal Guardian

Privacy Statement:

Georgina Public Library is committed to protecting the privacy of our members and all patrons who visit the library or our website. We are governed by the Municipal Freedom of Information and Protection of Privacy Act and the Ontario Public Libraries Act R.S.O. 1990. Information is collected under the authority of the Ontario Public Libraries Act R.S.O. 1990 for the administration of library operations.