When

Saturday, April 27, 2019 from 8:00 AM to 5:00 PM EDT
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Where

Women's Rights Info. Center/Strengthen Our Sisters

Englewood/West Milford, NJ

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Contact

Kathy Colucci, Community Service Staff Liaison
GBAR Community Service Committee
201-444-3100
kathy@realsource.org
Linda Ascolese
Tathiana Cespedes
Gina Gerszberg
Janet Ginsberg
Kristina Hajhassan
Patricia Ingman
Lynn Kassoy
Rich May
Rebecca Moats-Encarnacion
Dalia Mourad
Sarah Nall-Lono
Sonia Ortiz
Grace Perez
Diane Rothman
Zachary Stewart
Florestine Walker
Eva Winograd

Look Who Else is Registered!

Linda Ascolese
Tathiana Cespedes
Gina Gerszberg
Janet Ginsberg
Kristina Hajhassan
Patricia Ingman
Lynn Kassoy
Rich May
Rebecca Moats-Encarnacion
Dalia Mourad
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Volunteer for National Rebuilding Day!

On April 27th help us and Rebuilding Together Bergen County to make a difference in our local community. Participating volunteers will be providing neighborhood revitalization and home rehabilitation services beginning at 8:00 am and throughout the day. Breakfast and lunch will be provided.

* Required information

Volunteer Information (Main Registrant)

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    T-Shirt Size

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Volunteer Liability Release Statement

  • Volunteer’s Agreement and Release from Liability 1. Voluntary Participation. I acknowledge that I have voluntarily applied to assist in the Rebuilding Together Bergen County project (the “project”), a project in which the homes of disadvantaged persons or non-profit facilities will be repaired by volunteers. I understand that the Projects are currently scheduled to occur on April 27th, however, the date(s) may be changed at the sole discretion of Rebuilding Together Bergen County, Inc. I understand as a volunteer that I will not be paid for my services, that I will not be covered by any medical or other insurance coverage provided by Rebuilding Together Bergen County, Inc. and that I will not be eligible for any Workers Compensation benefits. I further agree that my participation in the Project may be terminated at any time by either Rebuilding Together Bergen County, Inc., or me.

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  • 3. Release. In consideration of the opportunity afforded me to assist in this Project, I hereby agree that I, my assignees, heirs, guardians and legal representatives, will not make a claim against Rebuilding Together Bergen County, Inc., or any of its affiliated organizations, or of their officers, directors, employees, sponsors and donors, of the supplier of any materials of equipment that is used by the Project, or any of the volunteer workers, for injury, damage or death resulting from the negligent acts or omissions of any person or entity, however caused, arising from my participation in the Project. With out limiting the generality of the foregoing, I hereby waive and release any rights, actions or causes of action resulting from personal injury or death to me, or damage to my property, sustained in connection with my participation in the Project.

  • I further consent to the unrestricted use by Rebuilding Together Bergen County, Inc. and/or any person authorized by them of any photographs, recordings, interviews, videotapes, motion pictures or similar visual or auditory recording of me in connection with the Project.

  • Knowing and Voluntary Execution. I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND Rebuilding Together Bergen County, Inc., AND I DO SIGN IT OF MY OWN FREE WILL, BY SIGNING THIS AGREEMENT I CERTIFY THAT I AM EIGHTEEN YEARS OF AGE (OR OLDER) OR I HAVE DELIVERED THE CONSENT OF MY PARENT OR GUARDIAN TO Rebuilding Together Bergen County, Inc.

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    I have read and understand the statement above.

Allow others to see that I have registered. (Note: only your name, title, and company information will be shared.)

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