2012 Qualicum Beach Family Day

Please provide the following information if you are interested in volunteering for this year's Family Day event.

Indemnity Agreement *	Yes. I have read, understand and agree with the Indemnity Agreement.
Name *
E-mail*
Phone
Cell
I am willing to volunteer for the following time slots: (tick all that apply)	7:30 a.m. - 10:30 a.m. 10:30 a.m. - 13:30 p.m. 13:30 p.m. - 16:30 p.m. 16:00 p.m. - 18:00 p.m.
Comments
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Thank-you very much for your interest in supporting this year's Family Day, should you have any questions please do not hesitate to contact the planning committee. Phone: 250-752-2300 Email: info@qbfamilyday.com