COVID 19 Volunteer Signup in Hampden
As we prepare to mitigate the impacts of COVID-19 the best thing we can do is support those close to us with compromised immune systems.
Those of us with overdeveloped immune systems (thanks daycare!) can assist our neighbors. When we are well We can buy groceries, pick up prescriptions, offer to walk our neighbor's dogs. Do anything else that would make it easier for folks to stay inside.
Please signup to help below: Contact
with any questions.
*No information will be shared outside of the Hampden volunteer community
Date of Birth
SAFE (Stop Abuse of Elders) recommends all volunteers be vetted through a Maryland Case Search
Full Street Address, City, State, ZIP
I'm willing to:
Pickup / deliver groceries for a neighbor in need
Pickup/ deliver prescriptions for a neighbor in need
Walk a dog for a neighbor in need
Provide social/ emotional support via phone
Anything else we should know?
WAIVER: We are all living with risks associated with the novel coronavirus (COVID-19). In our efforts to respond, we are all doing our best to mitigate that risk. It is necessary for you to understand that participation in the SQSN includes interactions that may be hazardous to those involved. There is risk involved in acting as a volunteer through HCC's SQSN. As such, we ask that you sign the following waiver.By submitting this form, I declare that I understand and agree to the following terms: I, the undersigned Volunteer of Services through the SQSN, release and hold harmless the organizers and/or coordinators of the SQSN and its successors (ie, HCC board members, coordinators, or committee members) and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arises contemporaneous with or might hereafter arise from my volunteering of services with the HCC SQSN committee. I, the undersigned Volunteer of Services, understand that this Waiver of Liability discharges the HCC and its successors from any liability or claim that I, the Volunteer of Services, may have against the HCC with respect to bodily injury, personal injury, illness, death, or property damage that may result from my participation as a Volunteer of Services for the WCPA SQSN committee efforts in the community. I also fully understand that the organizers and/or coordinators of the SQSN do not assume any responsibility for or obligation to provide financial assistance or other assistance (including but not limited to medical, health, or disability insurance) in the event of any injury, illness, death, or property damage. I, the undersigned Volunteer of Services, understand that I expressly waive any such claim for compensation or liability on the part of the organizers and/or coordinators of the SQSN beyond what may be offered freely by the President of the HCC in the event of such injury or medical expense. I, the undersigned Volunteer of Services, expressly agree that this Waiver of Liability is intended to be as broad and inclusive as permitted by Federal laws and the laws of the State of Maryland, and that where there is any conflict of laws this Waiver of Liability shall be governed and interpreted in accordance with the laws of the State of Maryland. Checking “I agree” shall constitute your signature of the foregoing Waiver of Liability.
I disagree (no services will be provided)
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