Thank you for your interest in volunteering with Rebuilding Together North Jersey (RTNJ).
First Name: *
Last Name: *
Address:*
City:*
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What is the best number to contact you?
T-Shirt Size: *
Emergency Contact:
How did you hear about RTNJ?
Have you volunteered with RTNJ before?
Yes
No
If yes, when?
Please tell us a little about that experience.
Registration Rebuilding Together's vision and strength is powered by neighbors helping neighbors.
Please tell us about your skills and interests to help us match you with available volunteer opportunities.
Remember - All skill levels are needed and valued.
Other Skills (including administrative, computer skills or volunteer management):
If you indicated PROFESSIONAL on any of the above skills, please explain (and list in which state you are licensed, if applicable):
Terms and Conditions:
In consideration of being permitted to participate on a voluntary basis in Rebuilding Together North Jersey (RTNJ), for myself and on behalf of my representatives, executors, administrators, assigns, heirs and next of kin, hereby , waive discharge, covenant not sue and agree to indemnify and save and hold harmless RTNJ and their respective officers and directors, and other participants, collectively and individually, from any and all liability to me or my representatives, executors, administrators, assigns, heirs and next of kin, for any and all loss or damage, and any claim or demands therefore, on account of bodily injury, death or property damage, whether caused by the negligence of the released parties or otherwise while I am participating in said project.
Photographic Release:
Volunteer and Guardian do hereby grant and convey unto RTNJ all rights, title, and interest in any and all photographic images and video or audio recordings made by RTNJ during RTNJ’s repair program, including but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings.
I expressly acknowledge that I have read and I voluntarily sign this release and waiver of liability and indemnity agreement, and agree that no oral representations, statements or inducements apart from the foregoing written agreement have been made.
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Date
Human Verification: *
+ 3 = 5