The Trillium Diwali Gala

The Trillium Diwali Gala Volunteer Registration Form

Thank you for your interest in volunteering with The Trillium Diwali Gala!

Please complete all fields in the form below to submit your volunteer application.

Deadline for volunteer applications is Friday, October 7, 2022. All volunteers must be 18+ years of age, as the Trillium Diwali Gala is a licensed event.

Your Information

Field Is Required First

Field Is Required Last

Field Is Required Street:

Field Is Required City/Town:

Field Is Required Province / State:

Field Is Required Postal/ZIP Code:

Field Is Required Email:

Field Is Required Phone Number:

Field Is Required Emergency Contact Name & Phone:

Field Is Required Over 18? Please make at least 1 selection from the choices below.

Yes, I'm over the age of 18

Field Is Required Have you volunteered at The Trillium Diwali Gala in the past?

If yes, what was your role?

Field Is Required Why do you want to volunteer at The Trillium Diwali Gala?

VOLUNTEER WAIVER

All participants and volunteers of The Trillium Diwali Gala must accept the following waiver before participating in the event on Friday, October 21, 2022.

In consideration of the acceptance of my application and the permission to participate as a volunteer at The Trillium Diwali Gala on Friday, October 21, 2022, I for myself, my heirs, my parents or legal guardian, executors, administrators, successors, and assigns HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE Trillium Health Partners Foundation, Trillium Health Partners, and all other associations, sanctioning bodies and sponsoring companies, and elected and appointed officials, successors and assigns, OF AND FROM ALL claims, suits, debts, losses, obligations, judgments, charges, demands, damages, costs, expenses, actions and causes of action, whether in law or equity, in respect of death, injury, loss or damage to my person or property HOWSOEVER CAUSED, arising or to arise by reason of my participation in the said event, whether as a spectator, participant, or otherwise, whether prior to, during or subsequent to the event AND NOTWITHSTANDING that same may have contributed to or occasioned by the negligence of the aforesaid. By participating in The Trillium Diwali Gala, I consent the use of my photograph, without compensation, in any future publicity carried out by Trillium Health Partners and Trillium Health Partners Foundation.

I FURTHER HEREBY UNDERTAKE TO HOLD AND SAVE HARMLESS AND AGREE TO INDEMNIFY all of the aforesaid from and against any and all liability incurred by any or all of them arising as a result of, or in any way connected with my participation in the said event.

BY SUBMITTING THIS ENTRY, I ACKNOWLEDGE HAVING READ, UNDERSTOOD, AND AGREE TO THE ABOVE AGREEMENT, RELEASE AND INDEMNITY. I WARRANT that I am physically fit to participate in this event.

Field Is Required By checking/signing this box/form you are accepting the terms of the Volunteer Waiver Please make 1 selection from the choices below.

I accept the terms of the waiver

As much as we would like to accept everyone who applies, there are a limited number of positions available for this event.

Submission of an application does not guarantee a position.

Trillium Health Partners Foundation respects your privacy and protects your personal information. We do not rent, sell or trade our mailing lists. The information you provide will be used to issue receipts and to keep you informed of Foundation activities. If you would like to be removed from our contact list, please call 905.848.7575 or email foundation@thp.ca and we will accommodate your request. Photos taken at the event will be used in marketing and promotional materials.

For more information, please contact Lida Klemmensen at 416-274-8465 or Lida.Klemmensen@thp.ca