Individual Volunteer Registration Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email Mobile Phone(Required)Have you participated with Hearts & Hammers before?(Required) Yes No If Yes: number of yearsGroup Affiliation Contact Person for Group Affiliation Area of interest(Required) Warehouse Program Day Home Coordination Inspections/Skilled Labor Marketing/Events Time CommitmentSeason preference(Required) Spring Summer Fall Other Duration(Required) One Time Weekly Monthly Annually As needed Hours preferred(Required) 1-5 hours 6-10 hours 11-15 hours 16-20 hours 20+ hours Interests/ExperienceInterests(Required) I am willing and able to work, but have no specific technical skills. I am willing and able to work, and have specific technical skills (see experience)Second Choice I prefer to scrape and paint. I prefer landscape work. I have Construction/Project Management experience. I prefer not to work on a ladder. I am comfortable working on a step ladder. I am comfortable working on an extension ladder. Experience Carpentry Exterior Painting Repair/replace siding and trim Gutter repair Railing repari Accessibility ramp repairs Stair/Walkway Repair Repair/Replace Doors and Windows Deck and Porch Repair Repair Retaining Walls Technical Inspections Events/ Admin I have a truck or van and would be willing to help transport material to and from worksites I am physically capable and willing to help load and unload materials. I would like to donate materials and/or equipment. I am interested in photography at events. I am interested in administration duties. Adult Agreement*(Required) I have read and agree to the Terms and Conditions listed below. *In consideration of the opportunity afforded me to volunteer my labor, materials, and/or equipment to the Hearts & Hammers - Twin Cities, Inc. (H&H) Project, a project in which the homes of low-income disabled and elderly persons will be repaired by volunteers, and in light of the aims and purposes of the community service provided by H&H, in organizing this project, I hereby waive any right, demands, injuries, damages, claims, actions, or cause of action arising as a result of my participation in the Project from which any liability may or could accrue against H&H, its officers and directors and employees, or against any other person or entity volunteering labor, materials, and/or equipment to the Project, collectively or individually. 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 damage to my property due to any active or passive negligence, or other conduct in connection with my activities for the Project, including but not limited to claims arising out of lead-based paint or other hazardous materials, but this waiver shall not apply to conduct that is fraudulent, intentional, or grossly negligent. I agree that this release is binding upon my heirs, executors, administrators and assigns. I also recognize that the activities associated with this Project are potentially dangerous and could result in serious personal injury or property damage. Nevertheless, I assume the risk of such injury, whether these risks are known or unknown to me, and I absolve H&H and all affiliated individuals and companies from all responsibility or liability of any description. I also grant H&H unrestricted permission to use, copy, reproduce, alter, display, distribute, publish, and/or exhibit any pictures, video or narrative in which I may be included through any means of communication whatsoever for any lawful purpose whatsoever. I further release and discharge H&H from any and all claims arising out of such use or activity. I am eighteen 18 years of age or older, and I have read the Safety Guidelines.NameThis field is for validation purposes and should be left unchanged.