2019 GVRD Junior Instructor Application

Junior Instructor Form 2019 - GVRD
Please fill out this form to confirm your spot as a volunteer. We accept volunteers between the ages of 13 to 17.
Name*

First NameLast Name
Birthdate*

MonthDayYear
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please select your t-shirt size.
Emergency Contact Information
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Which program would you like to Volunteer for (select one):*

Pedalheads Bike CampsPedalheads Sport Camps
For exact locations, please see the Pedalheads website:

Pedalheads® Bike Locations

Pedalheads Sport Locations
Which location would you like to volunteer at (select one)?*

Brentwood - Brentwood Park ElementaryComo Lake - Queen of All Saint's SchoolPinetree - Robson ParkNorth Delta - Sunshine Hills Elementary (August only)South Delta - Beach Grove Elementary (July only)Langley - Alex Hope ElementaryLynn Valley - Brockton Preparatory SchoolLynn Valley - Ross Road Elementary (July only)Richmond - Richmond Baptist ChurchWhite Rock - H.T. Thrift ElementaryLittle Mountain - Sir Richard McBride ElementaryOakridge - Annie B. Jamieson ElementaryPoint Grey - Jericho Hill CentreRenfrew-Collingwood - Renfrew Elementary SchoolWest Vancouver - Ridgeview ElementaryEast Burnaby/New West - 12th Street Ele. (Aug)South Burnaby - Suncrest Elementary (July)Cloverdale - Don Christian ElementaryArbutus - Princes of Wales Secondary
Which location would you like to volunteer at (select one) ?*

Brentwood - Brentwood Park ElementaryOakridge - Annie B. Jamieson ElementaryPoint Grey - Jericho Hill Centre
Which dates would you like to volunteer? You will be scheduled for each week you select.*

June 17- 21June 24 - 28July 2 - 5July 8 - 12July 15 - 19July 22 - 26July 29 - August 2August 6- 9August 12 - 16August 19 -23
Which dates would you like to volunteer? You will be scheduled for each week you select.*

June 24 - 28July 2 - 5July 8 - 12July 15 - 19July 22 - 26
Which dates would you like to volunteer? You will be scheduled for each week you select.*

June 24 - 28July 2 - 5July 8 - 12July 15 - 19July 22 - 26July 29 - August 2August 6 - 9August 12 - 16August 19 -23August 26 - August 30
Which dates would you like to volunteer? You will be scheduled for each week you select.*

June 17 - 21June 24 - 28July 2 - 5July 8- 12July 15 - 19July 22 - 26
Which dates would you like to volunteer? You will be scheduled for each week you select.*

July 2 - 5July 8 - 12July 15 - 19July 22 - 26July 29 - August 2August 6 - 9August 12 - 16August 19 -23August 26 - August 30
Which dates would you like to volunteer? You will be scheduled for each week you select.*

July 2 - 5July 8 - 12July 15 - 19July 22 - 26July 29 - August 2August 6 - 9August 12 - 16August 19 -23
Which dates would you like to volunteer? You will be scheduled for each week you select.*

June 17 - 21June 24 - 28July 2 - 5July 8 - 12July 15 - 19July 22 - 26July 29 - August 2August 6 - 9August 12 - 16August 19 -23August 26 - August 30
Which dates would you like to volunteer? You will be scheduled for each week you select.*

July 29 - August 2August 6 - 9August 12 - 16August 19 - 23
Which dates would you like to volunteer? You will be scheduled for each week you select.*

July 2 - 5July 8 - 12July 15 - 19July 22 - 26July 29 - August 2August 6 - 9August 12 - 16August 19 - 23August 26 - 30
Which dates would you like to volunteer? You will be scheduled for each week you select.*

July 29- August 2August 6 - 9August 12 - 16August 19 - 23August 26 - 30
Which dates would you like to volunteer? You will be scheduled for each week you select.*

July 2 - 5July 8 - 12July 15 - 19July 22 - 26
Which dates would you like to volunteer? You will be scheduled for each week you select.*

July 2 - 5July 8 - 12July 15 - 19July 22 - 26July 29 - August 2August 6 - 9August 12 - 16August 19 - 23August 26 - 30
Which dates would you like to volunteer? You will be scheduled for each week you select.

June 24 - 28July 2 - 5July 8 - 12July 15 - 19July 22 - 26July 29 - August 2August 6 - 9August 12 - 16August 19 - 23
Which dates would you like to volunteer? You will be scheduled for each week you select.

June 24 - 28July 2 - 5July 8 - 12July 15 - 19July 22 -26July 29 - August 2
Which dates would you like to volunteer? You will be scheduled for each week you select.

July 2 - 5July 8 - 12July 15 - 19July 22 - 26July 29 - August 2August 6 - 9
Which dates would you like to volunteer? You will be scheduled for each week you select.

July 2 - 5July 8 - 12July 15 - 19July 22 - 26July 29 - August 2August 6 - 9August 12 - 16
What time would you like to volunteer?*

AM: 8:45am - 12:00pmPM: 12:45pm - 4:00pmAll Day: 8:45am - 4:00pm
What time would you like to volunteer?*

AM: 8:15am - 11:30amPM: 12:15pm - 3:30pmAll Day: 8:45am - 4:00pm
Why would you like to volunteer with Pedalheads® Bike and/or Sport?*
Describe your experience working with kids aged 2-10 years old.*
Tell us about your favourite teacher. What made them a great teacher?*
Should be Empty:

Junior Instructor Form 2019 - GVRD

Emergency Contact Information