Brush Up Nampa Team Commitment

2. 

4. 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.

   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.

6. Team Name:*

7. Team Leader:*

8. Phone Number(s):*

10. Email:*

11. Contact Preference:*

    1. Phone
    2. Email

13. Secondary Contact:*

14. Secondary Phone Number(s):*

15. Secondary Email:*

19. Is your team interested in receiving more information about ordering event t-shirts?*

    1. Yes
    2. No

20. Photos of my team may be taken for publicity purposes.*

    1. Yes
    2. No

24. 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.

    1. Very Capable - can take on a larger project
    2. Average - some with and without experience. Do not want a huge project, but can do more than a mobile home.
    3. Small or Inexperienced - Would prefer a small project like a mobile home or to partner with another team.
    4. Partial Team - will need partnered with another team.
26. Is your team willing to be partnered with another team based on the needs of the assigned home?*

    1. Yes
    2. No

27. Brush-Up Nampa is funded through generous community sponsorship. Is your team able to sponsor the home you work on through your organization?*

    1. Yes
    2. No

31. My team is able to paint a home built before 1978. (Please see the page below regarding potential Lead Based Paint).*

    1. Yes
    2. No

    * If YES, please have individuals on your team sign the attached waiver. We just need the form back before prep work begins. Federal requirement.

33. 

35. 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.

    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.

37. 1. Signature

38. First Name*

39. Last Name*

40. Date*
    Date

44. Team Name:*

    ALL VOLUNTEERS PLEASE READ AND SIGN BELOW

46. 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)

    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)

48. 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.

    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.

50. Check To Sign

    1. Signature

51. Full Name

52. Home Address

53. Email

55. Check To Sign

    1. Signature

56. Full Name

57. Home Address

58. Email

60. Check To Sign

    1. Signature

61. Full Name

62. Home Address

63. Email

65. Check To Sign

    1. Signature

66. Full Name

67. Home Address

68. Email

70. Check To Sign

    1. Signature

71. Full Name

72. Home Address

73. Email

75. Check To Sign

    1. Signature

76. Full Name

77. Home Address

78. Email

80. Check To Sign

    1. Signature

81. Full Name

82. Home Address

83. Email

85. Check To Sign

    1. Signature

86. Full Name

87. Home Address

88. Email

90. Check To Sign

    1. Signature

91. Full Name

92. Home Address

93. Email

95. Check To Sign

    1. Signature

96. Full Name

97. Home Address

98. Email

102. If you have questions, please call 208-468-5472 or email community@cityofnampa.us.

     If you have questions, please call 208-468-5472 or email community@cityofnampa.us.

Leave This Blank:


103. 1. Receive an email copy of this form.
104. Email address

     This field is not part of the form submission.

105. Submit

* indicates a required field