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Brush Up Nampa Team Commitment
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This form has been modified since it was saved. Please review all fields before submitting.
Thank you for committing to help Nampa's seniors and disabled residents in need. With your help, we are able to make an impact on the residents of Nampa one house at a time. As available, we will provide you with information about the home and owner(s) your team is matched with.
Team Name:
*
Team Leader:
*
Phone Number(s):
*
Email:
*
Contact Preference:
*
Phone
Email
Secondary Contact:
*
Secondary Phone Number(s):
*
Secondary Email:
*
Photos of my team may be taken for publicity purposes.
*
Yes
No
Approximately how many people on team?
*
Please choose the best description of your team so that we can do our best to match you with property needs:
*
*A team should have a minimum of 10 members to be successful without wearing yourselves out.
Very Capable - can take on a larger project
Average - some with and without experience. Do not want a huge project, but can do more than a mobile home.
Small or Inexperienced - Would prefer a small project like a mobile home or to partner with another team.
Partial Team - will need partnered with another team.
Is your team willing to be partnered with another team based on the needs of the assigned home?
*
Yes
No
Brush-Up Nampa is funded through generous community sponsorship. Is your team able to sponsor the home you work on through your organization?
*
Yes
No
Electronic Signature
By checking the box and entering your information below, you hereby declare, under penalties of perjury, that you are authorized to submit the information in this form and to the best of your knowledge, it is true, correct and complete. I have read the above acknowledgement and have advised my team of lead safe paint practices.
Signature
First Name
*
Last Name
*
Date
*
Date
Team Name:
*
ALL VOLUNTEERS PLEASE READ AND SIGN BELOW
In consideration of the opportunity afforded me and/or my child to assist Brush-Up Nampa on a voluntary basis, I hereby waive any rights or case of action arising as a result of my or my child's participation in said project from which any liability may or could occur against Brush-Up Nampa officers and directors collectively or individually, event sponsors, donors, volunteers, or homeowners. 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 my child sustained in connection with my activities for Brush up Nampa. (Parental consent needed for all minor (under age 18) participation)
Electronic Signature
By checking the box and entering your information below, you hereby declare, under penalties of perjury, that you are authorized to submit the information in this form and to the best of your knowledge, it is true, correct and complete.
Check To Sign
Signature
Full Name
Home Address
Email
Check To Sign
Signature
Full Name
Home Address
Email
Check To Sign
Signature
Full Name
Home Address
Email
Check To Sign
Signature
Full Name
Home Address
Email
Check To Sign
Signature
Full Name
Home Address
Email
Check To Sign
Signature
Full Name
Home Address
Email
Check To Sign
Signature
Full Name
Home Address
Email
Check To Sign
Signature
Full Name
Home Address
Email
Check To Sign
Signature
Full Name
Home Address
Email
Check To Sign
Signature
Full Name
Home Address
Email
If you have questions, please call 208-468-5472 or email
[email protected]
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