Volunteer Fundraising Event Sign-Up

Volunteer Event Sign-Up

Please fill out this form to volunteer at one of the Alzheimer Society of Niagara Region's fundraising events.
Please contact Celine Crete at ccrete@alzheimerniagara.ca or 905-687-6856 ext. 544 with any questions
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
Authorization for the collection of personal information

We require your knowledge and consent to collect, use and disclose your personal information. The information you provide on this volunteer document will remain confidential, however but may also be shared with relevant organizations to obtain an appropriate volunteer role. Email address may be collected with permission for use in the communicating training information, agency closures, and communication documents. All information collected in handled with the guidelines for the collection, use and disclosure of personal information under Personal Information Protection and Electronic Documents Act (PIPEDA) and the Personal Health Information Protection Act (PHIPA).
IG Wealth Walk for Alzheimer'sOther
Grantham Optimists Youth Centre (188 Linwell Road, St.Catharines)
Brock University- IG Wealth Walk for Alzheimer's
T-Shirt Size in Unisex*
YesNo
Should be Empty:

Volunteer Event Sign-Up