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

21. Approximately how many people on team?*

25. 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.
27. Is your team willing to be partnered with another team based on the needs of the assigned home?*

    1. Yes
    2. No

28. 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

32. 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.

34. 

36. 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.

38. 1. Signature

39. First Name*

40. Last Name*

41. Date*
    Date

45. Team Name:*

    ALL VOLUNTEERS PLEASE READ AND SIGN BELOW

47. 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)

49. 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.

51. Check To Sign

    1. Signature

52. Full Name

53. Home Address

54. Email

56. Check To Sign

    1. Signature

57. Full Name

58. Home Address

59. Email

61. Check To Sign

    1. Signature

62. Full Name

63. Home Address

64. Email

66. Check To Sign

    1. Signature

67. Full Name

68. Home Address

69. Email

71. Check To Sign

    1. Signature

72. Full Name

73. Home Address

74. Email

76. Check To Sign

    1. Signature

77. Full Name

78. Home Address

79. Email

81. Check To Sign

    1. Signature

82. Full Name

83. Home Address

84. Email

86. Check To Sign

    1. Signature

87. Full Name

88. Home Address

89. Email

91. Check To Sign

    1. Signature

92. Full Name

93. Home Address

94. Email

96. Check To Sign

    1. Signature

97. Full Name

98. Home Address

99. Email

103. 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:


105. 1. Receive an email copy of this form.
106. Email address

     This field is not part of the form submission.

107. Submit

* indicates a required field