Volunteering Registration Form

Username *

Email *

Password *

Confirm Password *

First Name *

Last Name *

Date of Birth (dd-mm-yyyy) *

Date of Birth *Please Note. This program is for youth between the ages of 12 and 30.

Phone Number *

Address *

Address *Please confirm that your primary address is within Restigouche County (Belledune to St-Quentin)

Which School are you Currently Attending * Not Applicable - I am currently not attending schoolAcadémie-DalhousieAux Quatre VentsCampbellton Learning CentreCampbellton Middle SchoolCollege - Please specifyDalhousie Learning CentreDalhousie Regional High SchoolÉcole Marie GaëtanneLe Galion des ApalachesLe Mosaique du NordPolyvalente Alexandre I. SavoiePolyvalente-Roland PépinSugarloaf Senior High schoolUniversity - Please specify

Submit