Individual Volunteer Registration Form
Volunteer Personal Information
District Of Columbia
Northern Mariana Islands
African American or Black
American Indian or Alaskan Native
White or Anglo American
Emergency Contact Name
Emergency Contact Phone Number
Are you a military veteran?
Volunteer Skills (please check all that apply)
Carpenter (capable of replacing exterior doors, windows & siding, build steps and decks)
Drywalled (have installed drywall; capable of taping and floating)
Handyperson (capable of basic home repairs)
Painter (Have painted inside and/or outside of a house before)
Porch, Step and/or Deck Building
Window/Window Screen Repair
Please list other skills
The undersigned person further consents to the unrestricted use by RTH, and/or any person authorized by them, of any photographs, video or film recordings, interviews, or similar visual or audio recording of them created in connection with this program.
Home repair work naturally entails certain safety risks including, but not limited to, exposure to potentially dangerous conditions involving hand and power tools, paint hazards, and risks of slips, trips and falls present in unfamiliar surroundings, use of ladders, etc. Rebuilding Together Houston has a safety plan that your crew leader understands, and s/he will provide guidelines for your work site as you begin your work. Selecting I CONSENT designates that you personally assume all risks and release RTH or any other organization or individual involved in this program from any responsibility, obligation or liability for any loss, damage or injury to any person or property that arises in connection with participation in this program.
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