Hurricane Relief Form

Below you can tell us if you need help or would like to help.

First Name

Last Name

Email

Phone Number

Why are you filling out the Hurricane Relief form?

I Have a Need

I Want to Give: Time and Labor

I Want to Give: Money

Describe what you need (physical labor, prayer, etc.)

Address Line 1

Apartment, suite, etc.

City

State

Zip/Postal Code

What are you able to do?

Physical Labor (Demo, Lifting/Moving, Drywall removal, debris, etc.)

Prayer

Organize people

Do you have any specifc skills, abilities, or understanding of the "trades"?

Please fill out the digital waiver below.

I am a minor (under 18 years of age).

True

False

I have been informed of the above activity sponsored by Harborside Christian Church and hereby acknowledge there may be certain risks associated with participation in this activity. I understand that all reasonable safety precautions will be taken by the leaders of this activity, and that the possibility of an unforeseen hazard does exist. I further agree not to hold Harborside Christian Church, its leaders, employees, and

First and Last Name of Legal Guardian

Relationship to Minor

I am the parent or legal guardian of this participant and have been informed of the above activity sponsored by Harborside Christian Church and hereby give my consent for my minor child to participate in this activity. I understand that all reasonable safety precautions will be taken by the leaders of this activity, and that the possibility of an unforeseen hazard does exist. I further agree not to hold Harborside Christian Church, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by me.