Hurricane Ida Disaster Relief Support
Please complete this form if you are interested in supporting disaster relief efforts. You will be connected with other individuals to go out to various locations to provide all levels of support including manual labor.

We are working to facilitate contacts with disaster relief efforts. However, by submitting this form you individually assume personal liability for any activities, harm, or injury that may occur during your support of
relief efforts. Please be aware that you are responsible for any medical expenses that may occur if you are injured while serving. Additionally, if you choose to bring family members including minor children, you assume personal liability for any activities, harm, or injury that may occur during their support of relief efforts. You are also responsible for any medical expenses that may occur if your family member is injured while serving.

Submission of this form indicates that you will not hold the NOBTS or any subsidiaries responsible for any harm or injury that may occur to you during relief efforts.
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First Name *
Last Name *
Preferred Phone Number *
Email *
Date of Birth *
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Please select all that apply. I am willing and able to participate in: *
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Please select all that apply. I am able to serve on: *
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