Applicant Information

Fill this form out if you wish to have assistance with snow clearing on your municipal sidewalks around your property.

First Name:*	* Required
Last Name:*	* Required
Phone:*	* Required
Email:
Address:*	* Required
Comments or Questions:
How did you hear about the program?:

* indicates a required field.

Disclaimer: I confirm that I am eligible to register for the community driven Snow Angels program, in that I am a senior citizen, or a person with physical disabilities which limit my ability to clear snow myself.

Your personal information is being collected under authority of the Freedom of Information and Protection of Privacy Act (FIPPA) and will be protected in accordance with the provisions of the Act. Your address will only be provided to individuals who register as volunteers to clear snow from municipal sidewalks in your area of the city. By clicking submit, you agree to the disclaimer.

I have read the program summary & agree to comply.