9/11 Service Project to Support Our Troops & Families Volunteer Registration
Individuals seeking to participate in our annual 9/11 Service Project to Support Our Troops & Families are asked to register for this opportunity by filling out the form below. Volunteer slots are limited and preference is given to members in our community with relationships to the military, first responders, seniors, student groups, members of non-profit groups, civic organizations and government offices.

COVID-19 Protocols: Volunteers are required to have completed all recommended doses of the COVID-19 vaccine at least two weeks prior to the start of our event (August 28, 2021) This registration form contains an attestation about your vaccine status, which may be protected by HIPPA. Completion of this registration form will serve as an authorization to share your vaccination status with Massachusetts Military Heroes Fund. All volunteers will be required to follow all public health guidance in effect on the date of our event regarding the use of personal protective equipment (including face masks) and physical distancing. Volunteers will also be asked to complete a symptom attestation form on the date of our event as well as a COIVID-19 waiver of liability included with this form.

Private, for-profit companies seeking to register teams of volunteers are asked to provide a sponsorship to support the year round work of Massachusetts Military Heroes Fund with bereaved military families. For more information and a sponsorship package, please send an email (including the proposed number of employees on the corporate team) to: dnealon@massmilitaryheroes.org.

Volunteers are not registered until they receive an email from Massachusetts Military Heroes Fund confirming space availability for this project. This project is subject to be changed or modified based upon current health guidelines governing public gatherings. We will notify you promptly of any changes.

Weather related updates will be posted on our Facebook page @MAMilHeroes.

On behalf of the clients we serve, thank you very much for supporting this project.

1. Please provide your first name
2. Please provide your last name
3. Are you over the age of 18?
Anyone under the age of 18 must be accompanied by a parent or guardian, and that parent or guardian must sign off on the COVID-19 Waiver of Liability and Agreement of Participation at the end of this form.
Clear selection
4. Cell Phone Number
We will send text notifications out about our project as necessary to this number.
5. Email Address
6. Are you registering as an individual or as a representative of a group?
Clear selection
7. If you are registering as a representative of a group or company, please provide the name of your organization below.
Those registering as individuals can skip this question.
8. If you are registering as a representative of a group or company, please describe your group below by checking the answer that best describes your members
Those registering as individuals can skip this question.
Clear selection
9. If you are registering as a representative of a group or company, please provide the number of individuals with your organization interested in volunteering as a team for this project.
Those registering as individuals can skip this question.
10. Please indicate which part of the project you would like to volunteer:
Clear selection
11. Please choose the COVID-19 vaccination attestation statement which applies to you.
Clear selection
12. COVID-19 Waiver of Liability and Agreement of Volunteer Participation. Please type your name in the box below as your electronic signature and agreement with the following COVID-19 Waiver of Liability and Agreement of Volunteer Participation. "I, wishing to volunteer my time and services for Massachusetts Military Heroes Fund (MMHF), hereby acknowledge that said organization is doing everything they can to protect the public as well myself as a volunteer. To this extent, I agree to follow all Center of Disease Control (CDC) and local health district guidelines regarding COVID-19 and public gatherings. I also agree to follow all policies and procedures communicated to me by MMHF for volunteering. I specifically understand that I will be asked to:• Maintain six (6) feet of distance between myself, fellow volunteers, patrons of the organization, and the public as much as possible• Wear surgical masks or face masks of the type and quality in compliance with current CDC guidelines to reduce the risk of exposure to myself and others, at all times I am on the project site• Wash or sanitize my hands after using the restroom, sneezing, and coughing, and before eating or drinking. I also represent that I have completed all doses of COVID-19 vaccines on or before August 28, 2021. I understand that there is no direct medical health coverage afforded to me as a volunteer during my relationship with MMHF, unless I am a direct employee of that organization. MMHF is not responsible for any potential exposure to Novel Coronavirus, or COVID-19 during my time as a volunteer with this organization (which is not a direct result of negligence on the part of their employees, volunteers, or the organization). By placing my name in the box below, I am electronically signing this Waiver and Agreement of Participation, indicating I will comply with the written instructions above." Please take note: failure to comply with these written instructions or verbal instructions from staff may result in volunteer privileges being removed.
Anyone under the age of 18 participating in this project must be accompanied by a parent or guardian, and that parent or guardian must electronically sign this waiver for their dependent in the next question.
13. If you are a parent or guardian of a minor (under the age of 18) participating in this project, please electronically sign the COVID-19 Waiver of Liability and Agreement of Participation presented in question 12 above for your dependent by placing your name in this box.
Please skip this question if you are over the age of 18.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy