Helping Hands Service Request Name* First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Best time to contactAnytimeMorningAfternoonEveningService Requested*The Coordinator will discuss with you the requirements of the job and any supplies needed. We ask that you purchase the needed supplies or communicate with the coordinator about reimbursement. After your service request is completed we ask that you complete the Feedback Form. Donations are appreciated for the labor given. Checks to New Life Bible Fellowship, with Helping Hands put in the memo of the check, are deductible. “Pay It Forward”: We help those in need and ask that the recipient in turn volunteer their talents. WAIVER: I am the recipient and give my permission to New Life Helping Hands Ministry Volunteer(s) to perform the requested services for me. I understand that they are not licensed or bonded contractors and that no warranties will be issued. In consideration of the volunteer services to be rendered to me or on my property by the Volunteer(s), I, the undersigned, release and agree to hold harmless the Volunteer(s) and New Life Bible Fellowship from any liability related to the requested volunteer services. Electronic Signature*Type "I ACCEPT" to send your electronic signatureNameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle AJAX powered Gravity Forms.