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Request for Mutual Aid
Let's start with your information:
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What's your phone number?
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Can you receive text messages at this phone number?
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Which pronouns do you use?
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If you would prefer to communicate in a language other than English, which language would be best?
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What kind of assistance are you looking for?
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Is there anything else you would like us to know?
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Please enter your payment information/handles below where you can receive support:
*Please enter "N/A" in the box if you don't have that specific app.
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By submitting this form to receive voluntary services, you agree that you would like to be contacted by One For All Mutual Aid representatives and/or other volunteers about your request. You accept all risk and responsibility including any injury or harms that may result from receiving services, and further hold any facilitator associated with One For All Mutual Aid harmless. You agree to follow One For All Mutual Aid’s guidelines and all rules and orders of government health authorities. You understand that One For All Mutual Aid volunteers are not healthcare professionals. If you need medical advice, you will call your physician or 911. Do you agree?
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By submitting this form to receive voluntary services, you agree that you would like to be contacted by One For All Mutual Aid representatives and/or other volunteers about your request. You accept all risk and responsibility including any injury or harms that may result from receiving services, and further hold any facilitator associated with One For All Mutual Aid harmless. You agree to follow One For All Mutual Aid’s guidelines and all rules and orders of government health authorities. You understand that One For All Mutual Aid volunteers are not healthcare professionals. If you need medical advice, you will call your physician or 911. Do you agree?
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YES, I AGREE
B
NO, I DON'T AGREE
Done!
Your registration is completed.
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