BROAD REACH CANADA Inspiring youth through sailing since 1998 2023 Volunteer Application Thank you for expressing interest in volunteering with Broad Reach Canada. Please complete this form to help us get to know you better. Please note this information will only be used by Broad Reach to help us match our volunteers with our youth programs. ABOUT YOU Name Home Address Street City Province Postal Code Mobile Residence Email main one you wish to use as main contact point ABOUT YOUR AVAILABILITY please check your preferences☑ Weekdays – Please choose best availability Afternoon (2-6) Weekends Sat ☐ Sun ☐ Mon ☐ Tue ☐ Wed ☐ Thu ☐ Fri ☐ Time: Day (9-4) Time: Day (9-4) ) Evening (430-dark) Afternoon (2-6) ) Age of youth I am most comfortable with ages 12-17 ☐ ages 18-24 ☐ any age ☐ All volunteers require police reference checks for vulnerable populations Do you already have one? Are you willing to get it? Evening (430-dark) ) ABOUT YOUR SAILING EXPERIENCES # of years sailing, Type of boat, sail or power ☐ Interim keelboat certification ☐ Harbour license ☐ VHF radio ☐ First Aid ☐ Marine Emergency ☐ PCOC Do you have any Ontario Sailing /Sail Canada certifications? Please share Do you have any experience teaching or facilitating groups? Do you belong to a sailing Club? ABOUT YOUR OTHER EXPERIENCE please complete each section Tell us about any other experiences you have that may be applicable Please check off ways you wish to be involved. Please feel free to check as many as you are able to. Sailing : Sailing ☐ Racing Team ☐ Skipper if qualified ☐ Maintenance Boat Maintenance ☐ Peer Mentorship Program ☐ Events & Other Developing new programs ☐ Special Events ☐ Fundraising ☐ Administration ☐ Happy to do anything ☐ Other way: Thank you for completing this profile and volunteering your time. We hope that you enjoy the time you spend with Broad Reach. For internal use only Close Reacher Short Notice Beam Reacher Specific dates Broad Reacher Flexible most days Weekdays Weekends Volunteer Liability Release Form Rules for Safe and Responsible Behaviour Broad Reach programs are designed to be exciting, entertaining, and—most importantly—SAFE. To ensure the well-being and safety of all program participants, every individual who is involved in a Broad Reach-sponsored activity—either on board a Broad Reach training vessel, on the grounds of the NYC or anywhere a sponsored event is happening—must agree to abide by the following guidelines at all times: 1. All crew, participants and volunteers will conduct themselves in a professional, respectful and safety-conscious manner, and will respect the privacy and property of the National Yacht Club, its Members and Broad Reach Canada. 2. No smoking on any training vessel, and only in designated areas on the grounds of the National Yacht Club. 3. No participant will possess, use or transfer alcohol or illegal substances while on the grounds of National Yacht Club or while engaged in any Broad Reach program and related activities. 4. Disruptive, offensive or disrespectful behaviour or language will not be tolerated. This includes loud or excessive obscene language; pushing, shoving or other undesired body contact with others; physical, verbal or emotional harassment of any kind, etc. 5. Willful or careless disregard for any safety rule, guideline or verbal order, whether or not it results in an accident or injury, will not be tolerated. 6. During Program activities on the water, all crew, participants and volunteers will wear an appropriate and approved life vest at all times. Volunteer’s Declaration and Release I am familiar with the nature and content of the Broad Reach program in which I will participate, and with the Rules for Safe and Responsible Behaviour outlined above. I understand that if at any time during the course of the program, whether on the boat or on shore, I violate any of these rules, I will be discharged from all Broad Reach programs. Unless I advise Broad Reach staff otherwise in writing, I desire to participate in all Broad Reach program activities without exception. I understand that Broad Reach programs are designed to engage with youth from varying socio-economic backgrounds who might not have access to sailing programs. I will strive to ensure that youth in my care feel safe, secure and respected and that I do my best to facilitate their learning in a way that is engaging and fun. Furthermore, I understand that as a Broad Reach volunteer, I must set a positive example for the youth for the duration of their time with us. Further, I Agree to the Following: 1. I consent to Broad Reach using all photographs in which I appear during the time I am volunteering, for promotional or other related purposes. 2. In consideration of my participation in Broad Reach programs, I personally release and forever discharge Broad Reach, its employees, volunteers or agents, from all claims, demands, actions, or causes of action, including claims for personal injury, sickness or property damage that may occur involving myself while engaged in Broad Reach programs. 3. If for any reason I require medical attention, I agree to be responsible for any expenses incurred, including the cost of my delivery from the Broad Reach program site to medical facilities. My health card number is: Person to contact in an emergency is: Their contact numbers: My name is: Signature Date: day/month/year) Note : A parent or guardian must sign this form if the person completing it is not 18 years of age or older.
