Skip to Main Content
Your Government
Resident Services
Business Tools
How Do I?
Facebook
Twitter
Instagram
YouTube
LinkedIn
Search
Home
Form Center
A
A
Form Center
Search Forms by:
Enter Search Terms
Select a Category
Select category/categories to filter
All Categories
Bylaws & Legal
City Council
Contest Prize Release Forms
Corporate Services
Customer Feedback
Economic Development
Engineering & Public Works
Environment
FAR
Filming
Finance
Fire & Rescue
Fitness
Grants
Parks, Recreation & Culture Services
Pets & Animals
Planning and Development
Stakeholders
Winter Wise
Search
By
signing in or creating an account
, some fields will auto-populate with your information.
Adopt-a-Park Program - Activity Log
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Steps
1.
Step One
(current)
This section is complete
This section is incomplete
2.
Contact Information
This section is complete
This section is incomplete
3.
Volunteer Hours
This section is complete
This section is incomplete
4.
Activity Log
This section is complete
This section is incomplete
5.
Data Collection Consent & Submission
This section is complete
This section is incomplete
Step One
Registered Adopt-a-Park program volunteers, please complete an activity log after each visit.
Date
*
Date
Select the program you participated in:
-- Select One --
Adopt-a-Pollinator Hotel
Adopt-a-Sports Library
Adopt-a-Trail
Trail Section
If applicable, what section of trail did you volunteer for?
Continue
Contact Information
Group, Organization or Family Name
*
Contact Name
Phone Number
*
Email Address
*
Continue
|
Go Back
Volunteer Hours
Volunteer 1
Name
*
Hours Volunteered
*
i.e. 1 hour 30 minutes
Volunteer 2
Name
Hours Volunteered
i.e. 1 hour 30 minutes
Volunteer 3
Name
Hours Volunteered
i.e. 1 hour 30 minutes
Continue
|
Go Back
Activity Log
Was there debris or garbage in the water?
*
Yes
No
If "Yes", please describe type of debris or garbage and location.
Did you notice any dumping activity?
*
Yes
No
If "Yes", please describe type of dumping activity and location.
Was any graffiti found?
*
Yes
No
Please comment on the nature of any graffiti you may have found.
Was any vandalism found?
*
Yes
No
Please comment on the nature of any vandalism you may have found.
Were any trail hazards found?
*
Yes
No
If "Yes", please describe type of hazard and location.
Additional Comments
Did any injuries occur during the volunteer work?
*
Yes
No
If Yes, fill out a first aid report and contact City Coordinator immediately.
Continue
|
Go Back
Data Collection Consent & Submission
Data Collection Consent
*
By checking "I consent" you are consenting to the voluntarily collection and use of your personal information in accordance with Section 26(d) of the Freedom of Information and Protection of Privacy Act (the “Act”). The information provided by you will be used solely for the purposes of the Adopt-A-Trail Program and will not be used for any other purpose. If you are submitting personal information on behalf of another individual you acknowledge that you are either their legal guardian or have obtained their consent in accordance with Section 27(1)(a)(i) of the Act. If you have any questions about the collection, storage, correction and/or use of your personal information please contact Jennifer Urbaniak – City of Coquitlam, Parks Program Coordinator, 500 Mariner Way at 604-927-6312.
I consent
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
|
Go Back
* indicates a required field
Agendas & Minutes Search
Connect with Coquitlam
Map to City Hall
Media Centre
Careers
View current
job listings
Agendas & Minutes
Follow City Council
meetings
Online Services
Pay bills,
applications & licences
Service Requests
Questions, comments
& report a problem
Stay Connected
Stay informed on
news & projects
Have Your Say
Contribute your ideas
and feedback
Loading
Loading
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow