Volunteer Registration

The Town of Gillam would like to build a volunteer registry to call on should the worst happen for us, or surrounding communities that need our help. Please fill out the e-form so we can add you to our files!

Denise MacDearmid

CAO, Municipal Emergency Coordinator

Town of Gillam

<form-template>
	<fields>
		<field type="textarea" required="true" label="Name" description="Preferred name, first and last" class="form-control text-area" name="textarea-1776714157528"></field>
		<field type="textarea" required="true" label="Contact Number" description="What is the best number to reach you at?  Daytime?  Evening?  Weekend?" class="form-control text-area" name="textarea-1776714158196"></field>
		<field type="checkbox-group" required="true" label="Volunteer Area" description="What area are you prepared to help in?  Registration?  Security?  Donations management? Setup/removal? Cleaning/janitorial?  Cooking?  Childcare?  Pet care?" class="checkbox-group" name="checkbox-group-1776714531290" enable-other="true" other="true">
			<option value="Cooking" selected="true">Cooking</option>
			<option value="Cleaning/janitorial">Cleaning/janitorial</option>
			<option value="Setup/removal cots">Setup/removal cots</option>
			<option value="Registration">Registration</option>
			<option value="Security">Security</option>
			<option value="Child care">Child care</option>
			<option value="Pet care">Pet care</option>
			<option value="Donations Management">Donations Management</option>
			<option value="Door to door notifications">Door to door notifications</option>
			<option value="Handing out information">Handing out information</option>
		</field>
		<field type="textarea" label="Special Skills/Languages" description="Do you have any special skills/abilities/certifications that would lend well to the area you'd like to help out in?  What languages do you understand and speak fluently?" class="form-control text-area" name="textarea-1776714418209"></field>
		<field type="date" label="Date Field" class="form-control calendar" name="date-1776714500891"></field>
	</fields>
</form-template>

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