Your Name (required)

Your Email (required)

Home Phone Number

Cell Phone Number

Age

Medical Conditions/Allergies/Special Needs:

When would you like your placement to begin?:
Fall 2017Winter 2018Spring 2018Summer 2018

Which is your preferred location?:
C.E. Webster (1900 Keele St)Fairbank P.S. (2335 Dufferin St)

Why are you interested in being a Youth Volunteer at the Boys and Girls Club?

Have you been to a Boys and Girls Club before or participated in any programs? Please explain.

What are your hobbies and interests? What do you like to do for fun?