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* 1. Contact information

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* 2. Are you the parent of a child with cancer?

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* 3. Emergency contact

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* 4. Availability

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* 5. In which areas are you interested in volunteering?

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* 6. Special skills/qualifications: Core Knowledge

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* 7. Special skills/qualifications: Skills and Experience

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* 8. What are your reasons for volunteering?

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* 9. Please read our Participation Waiver and Release as follows:

"In consideration of acceptance as a volunteer for Ontario Parents Advocating for Children with Cancer (OPACC), I, the undersigned agree to indemnify and hold the Indemnitiees harmless and hereby waive, release and forever discharge any and all claims for damage, for death, personal injury, bodily injury and/or property damage which I may have or which hereinafter may accrue to me against the Indemnitiees from and against any liability arising out of or connected in any way with my participation in volunteering activities - even though that liability may arise out of the negligence or carelessness on the part of the Indemnitees. For the purposes of this Participation Waiver and Release, the term “Indemnitiees” means OPACC and all of its respective officials, officers, employees, agents, volunteers and sponsors.

I acknowledge and understand that accidents and injuries may arise from volunteering before, during, and after activities, and, knowing these risks, I hereby agree to assume those risks and release and hold harmless all of the Indemnitiees who (through negligence or carelessness) might otherwise be liable to me (or my heirs or assignees) for damages.

I further give permission to have photographs and/or audio-video recordings of me taken/made while volunteering including all duly sanctioned pre/post-event activities to be used for the purpose of publicity or to promote the public goals and objectives of OPACC. Such photographs and/or audio-video recordings may be used for program brochures, media productions, advertisements, news articles, website use, and the like.

It is further acknowledged, understood and agreed that this Participation Waiver and Release has been freely entered into and is to be binding on my heirs and assigns."

Your electronic signature below acknowledges that you understand and agree with the terms and conditions outlined in the Participation Waiver and Release above.

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* 10. By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I affirm that I am also in agreement with all of the policies stated above.

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