We appreciate your interest in becoming a PSA Volunteer. Please fill out the Volunteer Registration Form and press submit and it will be e-mailed directly to us. If your browser does not support interactive forms, print off the form and fax it to us at (780) 432-0486 or mail it to us at Paralympic Sports Association, 10024-79 Avenue, Edmonton, Alberta, T6E 1R5.

Name:
Address:
City:	Province/State:
Country:
Postal Code/Zip Code:
E-mail Address:
Phone:	Home Work
Age:	Over 18 years old Under 18 years old
Are you a member of PSA?	Yes No
	In the event of a personal or medical emergency, while performing volunteer services, whom may we contact on your behalf?
Name:
Telephone:
	Please specify any medical conditions we should be aware of:
	Indicate area of interest as a Volunteer: PROGRAMMING Canasta Floor Hockey Swimming Camp Unity Square Dancing Sledge Hockey Fun for Kids FUNDRAISING Bingo Grey Cup Casino ADMINISTRATION Programming Volunteer Recruitment
	Have you volunteered before? If yes, where?
1.
2.
	Special Skills: (That may be relevant to your volunteer work.)
	Education/Special Training:
REFERENCES (Name & Phone)	1. 2. I, , hereby give permission to the Paralympic Sports Association to obtain information regarding my previous employment, education and/or volunteer background.This copy of authorization shall be valid. Date:
	We appreciate your interest in volunteering for the Paralympic Sports Association. Do you have any additional comments or information to add?
Comments:

If you have any questions, please contact PSA at (780) 439-8687 or e-mail us at [email protected].

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