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Snow Angels Program Application
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Steps
1.
Applicant Eligibility
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2.
Applicant Information
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3.
Alternate Contact Person
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4.
Additional Information
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5.
Waiver & Acknowledgment
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Applicant Eligibility
In order to determine whether the services offered by the Snow Angels Program will be suitable, please be aware of the following information:
- The Snow Angels Program is designed to provide assistance in clearing snow from adjacent City sidewalks for registered owners or occupants of private property that qualify to participate in the program. There is no fee for this service. It is provided by volunteers registered with the City of Coquitlam.
- Snow Angels cannot clear your private driveway or walkways.
- The Snow Angel Program cannot guarantee that Snow Angel volunteers will be dispatched to clear your sidewalks in the event of a snowfall as the City cannot predict the magnitude of snowfalls, the availability of volunteers or the number of eligible applicants. All eligible participants will be placed on a list of addresses to be considered. Please be advised that the City may use existing records to cross-reference and confirm the answers that you provide on the application.
In order to help us determine your eligibility to participate in this program, please complete the online Snow Angels’ Application form and Snow Angels’ Program Release and Indemnity.
Does your address have an adjacent sidewalk?
*
Yes
No
If you answered "no"...
Snow Angels cannot clear your private driveway or walkway. You may want to consider using other snow removal services.
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Applicant Information
Applicant First Name
*
Applicant Last Name
*
Address
*
Coquitlam, B.C. Postal Code
*
Phone Number
*
Cell Phone Number
Email Address
*
Have you claimed the disability or senior's homeowner's grant for this property in 2020?
*
Yes
No
Are you the registered property owner?
*
Yes
No
Describe any (physical or medical) limitations that prevent you from clearing snow and ice from your City sidewalk in the event of a snowfall.
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Alternate Contact Person
Alternate Contact First Name
Alternate Contact Last Name
Phone Number
Cell Phone Number
Email Address
Relationship to Applicant
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Additional Information
How did you hear about the Snow Angels Program?
*
Comments or Questions
Notice Regarding Personal Information
As part of the Snow Angels Program you are required to provide us with certain information about where you live and your personal circumstances. Please be assured that the information you provide will be managed by the City in accordance with our obligations as set out in the Freedom of Information and Protection of Privacy Act, and any other applicable statutory requirements. Please feel free to contact the Snow Angels Program at 604-927-6922 if you have questions or require further information about the collection and use of your personal information.
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Waiver & Acknowledgment
Download the Waiver Form
Snow Angels Program Wavier (PDF)
Upload Completed Waiver Form
Agreement & Acknowledgment
*
I agree to and acknowledge all of the terms of this application.
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Email address
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