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New Day COVID-19 Emergency Grocery & Meal Assistance
Thank you for offering to assist New Day with meal and grocery deliveries to cancer families during this health crisis. Please complete the following form so that we can best match you with families in need.
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Name (first and last name)
Name (first and last name)
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Are you interested in helping with carry out meal delivery?
Are you interested in helping with carry out meal delivery?
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Are you interested in helping with grocery shopping and delivery?
Are you interested in helping with grocery shopping and delivery?
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Are you interested in making a financial contribution to this program? (There is no financial obligation to participate in this volunteer program.)
Are you interested in making a financial contribution to this program? (There is no financial obligation to participate in this volunteer program.)
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Where do you live? (list city)
Where do you live? (list city)
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Best phone number to reach you.
Best phone number to reach you.
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What day(s) of the week are you available? Check all that apply.
What day(s) of the week are you available? Check all that apply.
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Monday
Tuesday
Wednesday
Thursday
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What time(s) of day are you available? Check all that apply.
What time(s) of day are you available? Check all that apply.
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10am - Noon
Noon - 3pm
3pm - 6pm
6pm - 8pm
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We will be in touch! Our team is working remotely, so please be patient while waiting for a response.
We will be in touch! Our team is working remotely, so please be patient while waiting for a response.
ALL DELIVERIES WILL BE CONTACTLESS DELIVERIES. All New Day volunteers are required to follow ALL CDC guidelines to protect themselves and others from the spread of COVID-19. This includes but is not limited to wearing a mask and gloves, using disinfectant wipes on shopping carts and maintaining a 6 ft. distance from others while shopping. Please visit cdc.gov/coronavirus for more information.
If you volunteer to assist with this emergency assistance program, you assume all risks of participating. You waive, release and discharge from any and all liability, New Day Foundation or Families and/or their directors, officers, employees, volunteers, representatives. You also hold harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity.
If you volunteer to assist with this emergency assistance program, you assume all risks of participating. You waive, release and discharge from any and all liability, New Day Foundation or Families and/or their directors, officers, employees, volunteers, representatives. You also hold harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity.
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Please agree or disagree to the terms outlined above.
Please agree or disagree to the terms outlined above.
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