West Burlington


A Vibrant and Progressive Community

 
 

 Neighbors Helping Neighbors
Request for Help

The City of West Burlington Iowa is offering a Pilot Program of neighbors helping neighbors that is intended to assist seniors and people with disabilities with tasks such as shoveling snow, mowing grass, etc.  This program is for people who are not physically able to do such tasks and do not have the resources such as family, friends, or a hired service.

This Program will only be able to operate if the volunteer capacity exists to support such a service.

In order to recieve help with tasks and services, you must answer yest to the following questions


Address

Waiver and Release

I recognize the dangers and possibility of injury associated with participating in the Neighbors Helping Neighbors Program. I assume all risks in connection with this activity and acknowledge my participation is voluntary. I agree that the City, anyone acting on its behalf, and Neighbors Helping Neighbors Program service recipients may not be held liable in any way for any event that occurs in connection with this activity which may result in injury or other damage to me or my property. This waiver does not apply to injuries or damage as a result of willful, wanton, or intentional misconduct by the City or anyone acting on its behalf, or Neighbors Helping Neighbors Program service recipients. I agree to defend, indemnify, and hold the City, anyone acting on its behalf, and the Neighbors Helping Neighbors Program service recipients harmless for any expense or liability as a result of my actions or omissions while performing this activity.

Contact Us

Contact Us

122 Broadway St
West Burlington, IA 52655

319.752.5451

 
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