PERSONAL INFORMATION



INTERESTS & AVAILABILITY

Select all that apply

Select all that apply



SKILLS



EMERGENCY CONTACT



CONSENT


** Please read the following carefully before submitting this application **

By submitting this form, I confirm that the information in this volunteer application is complete and true. I understand that a Criminal Records Check may be required for some positions.

I understand that Langley Memorial Hospital Foundation is collecting my personal information in order to maintain my volunteer record, and it will remain confidential to the Foundation.

I give my permission to be photographed while volunteering at events and activities and understand that these images may be shared on the World Wide Web and with interested media partners such as the Langley Advance.

I give my permission to receive emails from the Foundation letting me know about fundraising success and activities.

By filling in the boxes below, I grant my child permission to volunteer for Langley Memorial Hospital Foundation.

Parent/Legal Guardian Consent (applicants under 19 years old)

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