2026 Rake Up Green Bay Service Request Form

Rake Up Green Bay Service Request Form

To be considered for Rake Up Green Bay assistance, you must complete and submit this form by October 30, 2026. Submission of this form does not guarantee that your property will be matched with volunteers.
Information about the person needing service:
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Format: (000) 000-0000.
Who should we contact with questions?
If someone else, their name:

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
Relationship to person needing service:
What is your reason for requesting this service? Due to limited resources, we would like to focus our efforts on the households in our community with the greatest need.

Other
Approximatley how many trees in your front yard will need leaves raked?
Approximatley how many trees in your back yard will need leaves raked?
Approximate yard size:
Where should leaves be placed for municipal pickup?

Other
Is there anything volunteers should know before arriving at the property? (Ex. Steep hills, fenced/gated yard, limited parking,accessibility concerns, unusually large yard, etc.)
Do you have a pet? Please note: Homeowners are responsible for clean-up of pet waste in their yards prior to volunteers' arrival.

Other
Can you provide any rakes and, if so, how many?
Can you provide any tarps and, if so, how many?
How did you hear about this opportunity?

Other
I give permission for my name, image andlikeness to be used by participating organizations for promotional purposes.
Please read before submitting:

I understand that Rake Up Green Bay services are performed by volunteers and that submitting this request does not guarantee that services will be provided. Requests are fulfilled based on volunteer availability, resources, and the discretion of the Volunteer Center of Brown County.

I give permission to the Volunteer Center of Brown County to share my name, address, phone number, and other necessary information with the volunteer(s) assigned to my property so they may contact me and arrange a date and time for service.

By signing below, I acknowledge my understanding of the information provided on this form and consent to participate in the program. TO THE FULLEST EXTENT PERMITTED BY LAW I HEREBY RELEASE, AND AGREE TO INDEMNIFY AND HOLD HARMLESS VOLUNTEER CENTER, INC. (D/B/A VOLUNTEER CENTER OF BROWN COUNTY), ALL VOLUNTEERS AND ALL PARTICIPATING PARTNERS AND SPONSORING ORGANIZATIONS FROM ANY AND ALL CLAIMS, DEMANDS, ACTION, CAUSES OF ACTION, LIABILITIES, DAMAGES, LOSSES AND EXPENSES IN CONNECTION WITH ANY NEGLIGENCE CLAIMS, DEMANDS OR ACTIONS WHICH COULD BE BROUGHT BY MYSELF, MY HEIRS, MY PERSONAL REPRESENTATIVES OR BY ANY OF MY FAMILY MEMBERS RELATED TO MY PARTICIPATION IN THE PROGRAM.
Signature
Thank you for completing your Rake Up Green Bay Service Request Form!

Submitting this form does not guarantee service. Requests will be matched with volunteer groups based on volunteer availability and the needs of participating households.

If you are matched with a volunteer group, the group will contact you directly beginning in early November to arrange a date and time that works for both of you.

Please do not expect volunteers to arrive without contacting you first.

Please note: Rake Up Green Bay does not take place on one specific day. If you are matched with volunteers, they will contact you beginning in early November to arrange a mutually convenient date and time.
Should be Empty:

Rake Up Green Bay Service Request Form

Information about the person needing service: