Holiday Gifts for Seniors

Holiday Gifts for Seniors Registration

Registration deadline December 21st, 2024

I am filling this form for:^* My Parent(s) My Parent(s) In-Law Myself

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Your Full Name^*

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Gender^* M F

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Cell Phone^*

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Email (if any)

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Do you or any members of your extending family attend various Jookender activities (online or in-person)?^* Yes No

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Delivery

Pick Up from Framingham Pick Up from Westborough Deliver to my address Deliver to another residential address

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Delivery to:

Our Volunteers will be delivering your gifts. Please, tell us email and cell phone number of the person who we should talk with to ensure smooth delivery

Full Name^*

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Cell phone^*

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Email^*

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Street Address^*

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Apt#

Town^*

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State^*

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Zip^*

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Senior Citizens

Comments

Jookender Waiver – Holiday Gifts for Seniors

I, on behalf of my family, voluntarily sign this waiver and assumption of risk in favor of the Jookender Community Initiatives, Inc in consideration for the opportunity to use the owner’s facilities, the facilities rented by or given to Jookender Community Initiatives, Inc, or event set up for the Jookender Community Initiatives, Inc, that will take place .

I understand that there are certain risks and dangers associated with the activities and use of the facilities and that these risks have been fully explained to me. I fully understand the danger involved. I fully assume the risks involved as acceptable to our family members and other paticipants I personally register, and agree to use my best judgment in undertaking these activities and follow all safety instructions.

I waive and release Jookender Community Initiatives, Inc. from any claim for personal injury, property damage, or death that may arise from use of the facilities or from participation in the activities of Jookender Community Initiatives, Inc.

In regards to COVID-19, I will comply with https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html

I am a competent adult and I assume these risks of my own free will.

Please, sign the document with your full legal name.

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