Freeport Grocery Buddy Volunteer form
Thank you for your interest in volunteering to help our community! Please complete the following information and we will be in touch.
Email address *
First Name *
Your answer
Last Name *
Your answer
Home Address *
Your answer
Date of birth *
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DD
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YYYY
Cell phone number *
Your answer
Home phone number *
Your answer
Driver's license number (Freeport Police Dept. will be running a check) *
Your answer
Car make *
Your answer
Car model *
Your answer
Car color *
Your answer
Please provide one Freeport resident reference (Name, Address, Phone, Email) *
Your answer
By checking below I agree to follow the “How to make safe deliveries for a vulnerable community member during Covid-19” guidelines as established by the CDC 3/20.( copy of guidelines will be provided). I understand that I am volunteering to participate in the Freeport Grocery Buddy program, and that participating in this program may increase my exposure to the coronavirus and am doing so at my own risk. My name, car description information, and phone number may be given to the person I am paired with. *
Feel free to add any other information
Your answer
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