2025 Calvary Disaster Relief
Work Interest Form (one form per person/church)
First Name (as on your ID or passport)
Last Name (as on your ID or passport)
Email
Birthdate
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Phone Number
Gender
Male
Female
I'd rather not say
Church Affiliation
Calvary La Habra
Other
Please answer the questions below:
If you checked "other" please indicate which church. If unaffiliated, please explain how you heard about us, and why you would like to volunteer with CDR
Are you looking to bring a team, or join ongoing efforts by yourself?
Bringing a team from my church
By myself
If you're leading a team, how many people? Please type N/A if non applicable.
Skills (if you have any specific skills that could be utilized please list them below.
If you are desiring to serve on the Altadena Fires, please choose what day(s) you can commit to help. You will be notified by a confirmation email or call, a day prior to the day(s) you select below. Thank you for your flexibility, as needs are evolving.
Monday 1/20
Tuesday 1/21
Wednesday 1/22
Thursday 1/23
Friday 1/24
Saturday 1/25
Calvary Disaster Relief
VOLUNTEER AGREEMENT AND RELEASE OF LIABILITY FORM (one form per person)
Medical/Release of Liability
I agree to sign this form electronically. I am a volunteer, not an employee, with Calvary Disaster Relief (aka "CDR", a ministry of Calvary Chapel La Habra) and will be participating in ANY disaster relief work between January 1, 2025 to December 31, 2025. I understand that reasonable safety precautions will be taken by the leaders of this ministry and any other organizations, companies, or individuals participating with Calvary Disaster Relief. I also understand that unforeseen hazards do exist. I hereby assume all risk of injury, harm, damage, or death in connection with my participation. I understand and agree that neither Calvary Disaster Relief, Calvary Chapel La Habra, nor its trustees, representatives, employees, agents, or volunteers shall be held liable in any way for any occurrence or incident which may result in injury, harm, damage, or death. I hereby release Calvary Disaster Relief and Calvary Chapel La Habra, its trustees, employees, agents, and representatives as well as any other organizations, companies, or individuals working in conjunction with Calvary Disaster Relief, from any injury, harm, damage, or death which may occur while participating in this ministry. I also hereby release the recipient property owner, whether real or personal, from any injury, harm, damage, or death which may occur while rendering services as a volunteer of Calvary Disaster Relief. To the fullest extent permitted by law, I agree to hold harmless the above listed parties from any claim by myself, my estate, successors, assigns, or other persons. I further state that I am authorized to sign this document; that I understand the terms herein are contractual and not merely recitals; and that I have signed this document of my own free will and volition. I further acknowledge that I have fully informed myself concerning this release by reading it before I signed it. I hereby consent to the provision or procurement by Calvary Disaster Relief of emergency medical care or first aid in the event that I suffer any illness or accident while performing volunteer activities. I hereby release, discharge, and hold Calvary Disaster Relief harmless from any claim related to the provision of such emergency care. I acknowledge that CDR is a Christian organization, and I will conduct myself in a manner consistent with the biblical values outlined on Calvary La Habra's "Statement of Faith" webpage. I assume responsibility to familiarize myself with these expectations. I acknowledge that any photos or videos taken of me by CDR/CCLH and its actors/volunteers that may be used for promotional purposes, and I consent to having pictures/videos of me taken and posted on any social media platforms.
Minor Volunteers
Medical/Release of Liability
I agree to sign this form electronically. Minors under the age of 16 are not permitted to volunteer with Calvary Disaster Relief. If I am a minor between 16 and 18 years of age, I understand that I can perform volunteer activities only under the supervision of a parent/legal guardian, or designated adult. In that case, this release must be signed on my behalf by such parent or legal guardian, and I will not volunteer without such action.
Today's date
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
<
Back
Next
>
Submit