Volunteer involvement is based on the successful completion of further screening measures, and the availability of a suitable role. First Name (*) Middle Name Last Name (*) Email (*) Address (*) City (*) Province (*) Postal Code (*) Phone Number (*) Birthday (*) Emergency Contact Person (*) Relationship (*) Emergency Contact Phone Number (*) Availability: (please select all that apply) WeeknightsWeekends Other availability Area of Interest: (please select all that apply) Kids Events Ages 6-12Teen Events Ages 13-18Adult Events Ages 19+Seasonal Parties (ie Christmas, Valentine, Halloween)World Down Syndrome DayBuddy Walk Waiver (please read before submitting) I am 18 or older and I have reviewed and agree with the contents of this waiver YesNo I am 17 and under and understand that I am required to submit the waiver signed by my parent or guardian in order to volunteer. YesNo At all times, the privacy and dignity of participants, donors, volunteers and staff will be respected and the mission, vision and values of the Down Syndrome Association of Toronto will be followed in accordance with DSAT’s policies, standards and guidelines. As a DSAT volunteer, I agree not to make any statements, written or verbal or cause or encourage others to make any statement, written or verbal, to defame, disparage or in any way criticize the personal or business reputation, practices or conduct of DSAT, their participants, donors, volunteers, staff, and directors. This includes but is not limited to the news media, any board of directors, employees and volunteers (past and present) and donors. I grant DSAT permission to use any photographs or videotape images of me taken in the course of my involvement and to use my name, image, comment(s) and information regarding my volunteer role, activities, and affiliation for DSAT’s purposes in the media and on the internet. I will not post any photographs or videotape images on the internet and/or Social Media sites taken during my volunteer role with DSAT, without the written permission of DSAT staff, directors, donors, participants and volunteers. I waive and release any and all claims for myself, my heirs, executors and administrators against DSAT and any other sponsor or organization involved from any and all claims or liability for death, personal injury, property damage of any kind however caused, including any claim or liability arising from the negligence of DSAT, it’s agents, or employees and of any person on site, arising out of or in the course of my participation as a volunteer for which I choose to participate. This Release of Waiver extends to all claims, foreseen or unforeseen, known or unknown. I understand that smoking is not permitted by any volunteer while carrying out DSAT business. References Please list up to 3 references Only one of your references maybe a family member. Other suggestions include co-workers, teachers, religious leaders, supervisors from a previous volunteer experience, past employers etc. Reference 1: Name (*) Position(*) Phone (*) Email (*) Reference 2: Name (*) Position(*) Phone (*) Email (*) Reference 3: Name (*) Position(*) Phone (*) Email (*) DSAT Privacy Statement: Volunteer applicants give permission for the collection, creation, use and disclosure of personal information for the purpose of screening for a volunteer role. Successful applicants further consent to the collection and use of their personal information to facilitate volunteer recognition, statistical purposes and to help in improving how we partner with volunteers.