Form Centre

2. Team or group name and brief description:*
4. We’re thrilled you want to help remove weeds in the Town of Cochrane. How will this donation benefit your group? How will it be used?*
6. Cheque should be made out to:
8. Coach/leader information
10. Full name*
12. Address
14. City
15. Province
16. Postal code
18. Email*
19. Phone*
21. Please list three preferred dates and times when your group is available.
    Please note: must be July-September, Monday-Friday, with a start time 9 am-2 pm (weed pulls take approx. 2 hours).*
23. Volunteers
    Your group/team is responsible for providing at least 12 volunteers for 2 hours.
    Please note: adult supervision is required. Children must be at least 9 tears old. For children under 12, there must be one adult for every four children; for children 12-16, there must be one adult for every six children.
    Please provide the names and ages of all volunteers.*
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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field