Frontline Registration Form Name(Required) First Last Email(Required) Enter Email Confirm Email Phone Number(Required)Alternate Phone NumberCity(Required) Orangeville Brampton Mississauga Georgetown Caledon Other Postal Code Postal Code Can we contact you in the future to let you know about other volunteer opportunities with CVC, the CYC program, and for program evaluation?(Required) Yes No Age as of September 1, 2022(Required) 14 15 16 17 18 Other Grade entering as of September 1, 2022 9 10 11 12 Other What high school do you attend?(Required) Emergency ContactEmergency Contact Name(Required) First Last Relationship to Applicant(Required) Emergency Contact Email(Required) Enter Email Confirm Email Emergency Contact Primary Phone Number(Required)Emergency Contact Alternate Phone Number(Required)Parents/Guardians(Required)Please provide any additional information about the applicant under the age of 18yrs that may be necessary to provide a safe experience in the Frontline program. Please type “NONE” if you don’t wish to add information here.Frontline Waiver(Required)Download the waiver below or from your confirmation email to complete your registration in the Frontline program. Please note that we cannot accept electronic signatures. They must be handwritten/signed. I will download and complete the Frontline waiver. I will send my Frontline waiver to CVC by email within 48 hours to complete my application. CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ
