Berkshire Mutual Aid Network - Sign Up Form
Tell us who you are, where you are, how we can get in touch, and what you need and/or can contribute! (**this form is not for vaccination clinic transportation volunteers, please follow this link instead:
. For vaccination sign up assistance please call the BMA Neighborhood Vaccine Support Hotline at 413-591-0611)
Berkshire Mutual Aid is an emerging coalition of community organizers, grassroots networks, local non-profit leadership, and volunteers working together to stage a safe and coordinated citizen led response to COVID-19 in Berkshire County, MA. We will only share your information with parties doing community aid volunteer work in the Berkshires relevant to your needs and contributions. We won’t use or share your info for any other purpose.
Join us in building our capacity to support our neighbors!
(Accessibility concerns? No problem. Call or Text 413.200.8545)
Please include hyphens! ex: 123-456-7890
What is the best way to reach you?
Please provide at least one above.
What town are you currently living in?
What can we do for you?
I need support
I want to volunteer and/or donate
I want to volunteer *and* I need support
Are there any safety or accessibility needs you'd like us to know about?
Please feel free to contact us directly by phone or email if you would prefer.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service