Serve Santa Maria Day of Service: Saturday, April 30
Thank you for participating in this Day of Service.   You will be joining your efforts with those of your neighbors and friends to make a difference in our community!

To help us prepare for your service, please complete the information below.
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Name: *
Email: *
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Number of adults in your party: *
Number of minors in your party: *
If you belong to a local church, or are participating on behalf of a community organization, please tell us which one: *
Please indicate the project you are most interested in working on this time: *
Acknowledgement/Waiver:
I, the undersigned, do hereby understand and agree that I am not an employee of the City of Santa Maria (City) or Serve Santa Maria (SSM), that I am not entitled to property rights in my job assignment, and that I provide volunteer service to the City and SSM in an at-will status. I do hereby further specifically waive any and all other rights, claims, or liability against the City and SSM, their officers, agents, or employees from or on account of any injury suffered by me arising out of, or in any way, connected with my participation in this Serve Santa Maria Day of Service event.

Given that this event is being held during the COVID-19 state of emergency, I agree to follow the guidelines and protocols outlined by Serve Santa Maria and posted as part of the organization’s attestation to the Santa Barbara County Health Department.

In the event that I am signing below on behalf of a minor, I attest that I have the right to act on his/her behalf and agree that the above waiver shall be in force for the minor as well.
Check the box below to confirm that you have read and understand the above statement and that you, and all members of your party, agree to it. *
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