Volunteer Profile

Sports Association Volunteer Profile
Thank you for your interest in volunteering with the Gaylord Sports Association! Volunteers are intregral to our programming and we have a variety of volunteer opportunities available. For a list of our general volunteer opportunities, please click here. Feel free to contact us at sports@gaylord.org or 203-284-2772 for more information or with any questions!
I would like to volunteer with the Gaylord Sports Association*

Yes
If you are interested in volunteering for a specific sport, event or program, please indicate your specific interest here (for example: Triathlon Program, Veteran's Fishing, Cycle Rides, Wheelchair Rugby Tournament):
Volunteer Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Date of Birth*

MonthDayYear
What is your gender?*

MaleFemaleI prefer not to answer
Do you serve or have you served in the military?*

YesNo
Please select your current military status:

VeteranActive DutyReservesOEF/OIF
What is your service branch?

ArmyNavyMarinesAir ForceCoast GuardNational GuardReserves
How would you best describe yourself?*

WhiteAsian (Origin: example Chinese; Indian; Afghan; Filipino; Iranian; etc.)Black/African AmericanAmerican Indian or Alaska NativeNative Hawaiian or other Pacific IslanderPrefer not to answerOther
Are you of Hispanic/Latino/Spanish origin?*

No, not of Hispanic, Latino, or Spanish originYes, I am of Hispanic, Latino, or Spanish (Origin: example Mexican, Puerto Rican, Cuban, Dominican, Colombian, Spaniard, Ecuadorian, etc.)
Emergency Contact*

First NameLast Name
Relationship to Emergency Contact*
Phone Number of Emergency Contact *
Please enter a valid phone number.
INTERESTS & EXPERIENCE
Are you currently (select all that apply):

WorkingAttending SchoolVolunteeringVolunteering as part of a group or organization
Please list your employer and job title:
Where are you going to school? If college, what are you studying?
Where do you volunteer and what is your role?
What group or organization are you a member of?
Why do you want to volunteer with the Gaylord Sports Association?*
Please check the areas that you are interested in:

ArcheryBocciaCurlingCyclingChallenge CourseVeteran's FishingFitness ClassesGolfKayakingPickleballWheelchair RugbyRock ClimbingSCUBA DivingSkiing, DownhillSled HockeySwimmingTennisTriathlon TrainingWater SkiingYogaSpecial EventsFundraisingPhotography/VideoAdministrativeOther
Do you have advanced skills, certifications or expertise in any of the areas above or other sports? If so, please describe:
AVAILABILITY
Are you available to volunteer on the weekdays?*

YesNo
If yes: Days/Times Available:
Are you available to volunteer on the weekends?*

YesNo
Any additional comments on your availability?
Medical Information
COVID-19 VACCINATION: As of 9/7/21, all Gaylord Sports Association volunteers, instructors and coaches must be fully vaccinated and up to date with their COVID vaccine prior to starting their volunteer role per state of Connecticut Mandate. This means volunteers must have received all doses in the primary COVID vaccination series and all boosters, when eligible. “Fully vaccinated” means at least 14 days have elapsed since a person has received the final dose of a vaccine approved for use against COVID-19 by the U.S. Food and Drug Administration, or as otherwise defined by the Centers for Disease Control. Volunteers who are fully vaccinated will be asked to sign an attestation form and provide a copy of their vaccination card(s).
Are you fully vaccinated for COVID-19?

YesNoHave started the process, but not fully vaccinated.
What is the date of your final dose of the COVID-19 vaccine?*

MonthDayYear
Date
Please upload a photo of your COVID Vaccination card.
Please check any of the medical conditions that pertain to you. If checked, Please provide details below:

AllergiesSpecial Dietary RequirementsHearing ImpairedVision ImpairedPhysical LimitationsCardiac ConditionSeizures/History of SeizuresPregnantAsthma or Breathing DifficultiesPrescription MedicationsDifficulty with CommunicationDiabeticUse of Mobility Device or Adaptive EquipmentNoneOther
If any of the above conditions are checked or there are any other medical considerations we should be aware of, please provide details here:
Please tell us about any dietary restrictions or preferences:

VegetarianVeganOther
Please share with us any additional information that you feel is important for us to know regarding your volunteer role with the Sports Association:
Acknowledgment
By signing below, I verify that the above information is current and accurate. I understand that the above information will be kept confidential. In order to provide a safe and fun experience your information may be shared with: (1) Sports Association staff, coaches or instructors (2) other adaptive sports programs who will be working with you (3) medical professionals in case of emergency (4) as required for Sports Association grant reports. I understand that it is my responsibility to inform the Sports Association regarding changes to my: (1) contact information such as address, phone and email; (2) medical status including new diagnosis, surgery or medical changes; (3) any other information that is relevant to the safety of myself or others regarding my participation in Sports Association programs.
First and Last Name of Volunteer:*

First NameLast Name
Are you your own legal guardian and at least 18 years or older?*

YesNo
If you are not your own legal guardian, your legal guardian or legal representative must sign the waiver and release of liability agreement on your behalf (link to waiver will be provided once this form is submitted). Please provide the following information about your guardian:
Name of legal guardian:

First NameLast Name
Relationship:
Email of legal guardian:
example@example.com
Phone Number of legal guardian:
Please enter a valid phone number.
Signature of Volunteer

Clear
Liability & Media Waiver
All participants, volunteers, and coaches must sign an annual liability waiver and optional media release. Once this form is submitted, please follow the instructions provided to sign the online waiver.
Should be Empty:

Sports Association Volunteer Profile

Volunteer Information

INTERESTS & EXPERIENCE

AVAILABILITY

Medical Information

Acknowledgment

Liability & Media Waiver