Haliburton County Snowmobile Association
P.O. Box 1405, Haliburton, Ontario, K0M 1S0

Volunteer Application Form

Personal Information
First Name:	Last Name:
Address:
Where may we contact you?
Home:	Cell:
Email:	Work:
What area of Haliburton County would you be willing to work in?
Do you have a valid Drivers License? Yes     No	Are you 18 years of age or over? Yes     No
Primary area(s) of interest:  Trail Maintenance      Special Events      Administration      Grooming      Signage      Mechanical      Trail Patrol      Driver Training
Availability: Monday   Tuesday   Wednesday   Thursday   Friday   Saturday   Sunday   am am am am am am am pm pm pm pm pm pm pm even even even even even even even
Additional information:
For verification, please enter the word you see in the graphic on the right: