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Please complete the volunteer application. Your email address is important. If you have any questions, please call 305-200-5711 or email Ashley Snow at asnow.rtmiami@gmail.com



* - Required field.

*First name
Middle name
*Last name
*One address is required.
Home Address 1
Home Address 2
Home City
Home State
Home Zip code
Set Home Address as Mailing Address
Business Name
Business Address 1
Business Address 2
Business City
Business State
Business Zip code
Set Business Address as Mailing Address
Receive Updates
*One phone is required.
Home phone
Work phone ext.
Cell phone
*E-mail address
Alternate e-mail address
Gender
Ethnicity

Emergency Contact
Name
Relationship
Address
City
State
Zip code
Home phone
Work phone
Work phone ext.
Cell phone

*Project
I prefer to work with the following group or person
Application date
T Shirt Size
Skill Unskilled Some Skill Skilled Licensed +/or Certified Comments
Please check off the tools below that you would be able to bring to the project, if needed.
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In consideration of the opportunity afforded me to assist on a voluntary basis in this special Rebuilding Together Miami-Dade event, a project in which several homes of disadvantaged persons will be repaired by volunteers, and in light of the aims and purposes of the community service provided by Rebuilding Together Miami-Dade in organizing this project, I hereby waive and release any right, claim or cause of action arising as a result of my participation in said project from which any liability may or could accrue against Rebuilding Together Miami-Dade, Inc. and any of the respective officers and directors collectively or individually. Without limiting the generality of the foregoing, I agree that this waiver and release shall include any rights, claims, or causes of action resulting from personal injury to me or damage to my property sustained in connection with any activities for the Home Repair Project. I understand that photographs and/or videotapes will be taken of me. I hereby assign and authorize use of these photographs and/or videotapes for publicity purposes. I, therefore, release and discharge all parties associated with Rebuilding Together Miami-Dade, its agents, servants and employees from any liability, which may arise now or in the future or develop from such activity as described above.
I have read and agree to the disclaimer.