Needs Registration
Given the pandemic of Coronavirus and the national state of emergency, the Point Breeze Organization wants to reach out to establish a network of neighborhood help.

We know that certain people are more at risk for negative health consequences due to Coronavirus - particularly those above age 60, women within 2 weeks of giving birth, and those with health conditions like cardiovascular disease, high blood pressure, diabetes, respiratory problems, those immunocompromised, and others.

Our goal is to help these neighbors maintain their social distancing and stay away from crowds, which increase risk of infection.
Name *
Your answer
Your answer
Email *
Your answer
Your answer
Preferred form of contact: *
I need: *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy