Snow Angels Program - Volunteer Application

Please complete the below application and waiver for the Snow Angel Program. If you need assistance completing this form, please call 814-949-2456. Fill out this form only once. We will contact you with confirmation details when you have been assigned a neighbor. You may not be assigned to help a neighbor immediately; neighbors may request help throughout the season. Your assignment depends on if a neighbor near you applies for help. Either way, we will keep in touch!

Address

First Name

Last Name

Phone Number

Do you have a shovel

TERMS AND AGREEMENT

This Snow Angels Program Application Agreement (this "Agreement") is created and effective as of the date of the APPLICANT's signature on this Agreement. WHEREAS, the Snow Angels Program is the City of Altoona’s (the "CITY") snow and ice removal service for older neighbors, veteran neighbors, and neighbors with disabilities, who do not have the means to remove their own snow and ice (the "Service"); WHEREAS, APPLICANT has applied to the CITY for participation in the Snow Angels Program as a Volunteer to provide the service; NOW THEREFORE, the undersigned APPLICANT hereby acknowledges and agrees as follows:

I. REQUIREMENTS AND RULES

APPLICANT certifies that APPLICANT is capable of removing snow and ice from a property.
APPLICANT understands that the only service provided will be snow and ice removal.
APPLICANT understands that the APPLICANT'S participation in the Snow Angels Program shall not include any interactions or communications with the recipient of the Service except to the extent necessary to perform the Service.
APPLICANT also understands that the Service requires no entry inside the residence of the recipient of the Service, and APPLICANT shall not enter the inside of the residence of the recipient of the Service for any reason.
APPLICANT agrees to treat any and all Snow Angels recipients with dignity and respect, or risk expulsion from the Snow Angels Program at the complete discretion of the CITY.

II. RELEASE & HOLD HARMLESS

APPLICANT agrees to assume all risk of injury, harm, or damage to APPLICANT's person or property which may arise as a result of the performance of the Service and does hereby release and agree to indemnify and hold harmless the CITY, its agents, officers, and employees and Recipient(s) from any and all liability actions, damages, and claims of any kind and nature whatsoever for injury or harm that might arise in connection with participation in this Service.
APPLICANT further agrees that this Section II of this Agreement is intended to be as broad and inclusive as is permitted by the law of the Commonwealth of Pennsylvania and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
APPLICANT further agrees that no oral representations, statements, or inducements apart from this Agreement have been made

IN WITNESS WHEREOF

APPLICANT or APPLICANT's duly authorized representative has agreed to this Agreement.

Consent Agreement By checking this box, I agree to the terms of the program

Applicant's Signature

Date