Sign up for

First Name *
Last Name *
Email *
Mailing Street *
Mailing City *
Mailing State/Province *
Mailing Zip/Postal Code *
Mobile Phone *
Emergency Contact
Emergency Contact *
Emergency Contact Phone *
Relationship to Emergency Contact
Under 18? 16 & 17 year olds can volunteer with an adult (requires an additional sign up) and a printed waiver (see below) signed by your parent or guardian.
I am over 18 years of age
16 or 17? Bring youth waiver below
Birthdate *	[ 4/10/2021 ]
Waiver of Liability
I agree to the waiver linked below *
Waivers Download and read the waiver. By clicking “Sign Up” you agree to this disclaimer. Under 18? Download and print the youth waiver and have your parent or guardian sign it.

Home Repair-Rock the Block