Volunteer Sign-Up

I want to help with home repairs for the low-income seniors, disabled, and other families in need in Lincoln County.

Name: THIS FIELD REQUIRED
Mailing Address: THIS FIELD REQUIRED
City: THIS FIELD REQUIRED
State: THIS FIELD REQUIRED
Zip Code: THIS FIELD REQUIRED
Home Phone:
Cell Phone:
Work Phone:
E-Mail Address: THIS FIELD REQUIRED
Group Association:
(i.e. business, church group, etc.)
SKILLED
(Professional)
SEMI-SKILLED
(Not my profession but
I'm comfortable using the tools)
UNSKILLED



















I have equipment available to use:     
Other:
 
I would be interested in:

VOLUNTEER WAIVER OF LIABILITY

Rebuilding Together–Lincoln County AREA HOME REPAIR PROJECT

In consideration of the opportunity afforded me to assist on a voluntary basis in the Rebuilding Together-Lincoln County Area Home Repair Project, a project in which homes of disadvantaged persons will be repaired by volunteers, and in light of the aims and purposes of the community service provided by Rebuilding Together, Inc. in organizing this project, I hereby waive any right or cause of action arising as a result of my participation in said project from which any liability may or could accrue against Rebuilding Together, Inc., Rebuilding Together-Lincoln County, or its officers and directors collectively or individually. Without limiting the generality of the foregoing, I agree that this waiver shall include any rights or causes of action resulting from personal injury to me or damage to my property sustained in connection with my activities for the Home Repair Project.

Agreed to by: (your name) THIS FIELD REQUIRED
Date: THIS FIELD REQUIRED


PARENTAL PERMISSION
(Age 14 - 18)

Rebuilding Together – Lincoln County
Home Repair Project

In consideration of the opportunity afforded my child to assist on a voluntary basis in the Rebuilding Together-Lincoln County Area Home Repair Project, a project in which the homes of disadvantaged persons will be repaired by volunteers, and in light of the aims and purposes of the community service provided by Rebuilding Together (affiliate name Lincoln County in organizing this project, I (we) give my (our) permission for my (our) child to participate in the Home Repair Project, and I (we), on behalf of my (our) child and myself (ourselves), waive any right or cause of action arising as a result of my(our) child's participation in said project from which any liability may or could accrue against Rebuilding Together, Inc., Rebuilding Together-Lincoln County, or its officers and directors collectively or individually. Without limiting the generality of the foregoing, I (we) on behalf of my (our) child and myself (ourselves), agree that this waiver shall include any rights or causes of action resulting from personal injury to my (our) child or damage to my (our) child's property sustained in connection with my (our) child's activities from the Home Repair Project.

Agreed to by: (parent)
Age of child: Date:


THIS FIELD REQUIRED
Verification Code: