Hamilton County Voters Coalition
Complete this form to start the process of setting up a "Ride To the Polls" for Early Voting. You will be contacted once the form is completed to confirm your transportation. For more information please contact us at (423) 402-0077 or via email at raquettadotley@gmail.com. Please Note: This form will be updated for Election Day.
Email address *
HCVC Ride To The Polls Initiative
Name *
Your answer
Phone Number *
Your answer
Address (include zip code) *
Your answer
Please choose a date to be picked up *
Please Choose Your Early Voting Location *
Rides are available between 10:00 a.m. and 2 p.m. on the dates listed above. Please indicate what time you would like to schedule transportation. They are scheduled in 30 minute increments. *
Release of Liability
Please review the below information and type your name and date if you agree with the terms of this service.
In consideration of receiving a ride to and from the voting polls from the above-named driver for the Hamilton County Voters’ Coalition through the Activity known as “Rides to the Polls”, I the undersigned rider, on behalf of myself, my heirs, executors, administrators, assignees, or personal representatives, do hereby knowingly and voluntarily waive any and all rights, claims, or causes of action of any kind arising from said Activity, and do hereby release and forever discharge the Hamilton County Voters’ Coalition, its affiliates, managers, members, organizers, agents, volunteers and representatives for any and all physical, mental, emotional, or psychological damage or economic loss that I may suffer a result of my participation in this activity.This release of liability shall not be construed to release the above named driver from liability for negligence on his/her part arising directly from said Activity but shall be construed to limit that liability to the extent of the driver’s auto insurance liability policy limits. *
Your answer
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