BlockWork Volunteer Application

BlockWork 2022 Volunteer Form

Building Neighborhood Accountability One Block at a Time
This year's BlockWork project will take place on

Saturday, October 22, 2022

at the 500 block of West Council Street.

Please select the time slot(s) that you are available to volunteer for tasks. Each slot is two hours, you can volunteer for as many or as few as meets your personal schedule. We always need volunteers in the afternoon.
Saturday, October 22 - Time Slot(s)

7 a.m. (set up) 8 - 10 a.m. 10 a.m. - noon noon - 2 p.m. 2 - 4 p.m. 4 - 6 p.m. 6 - 7 p.m. (clean up)
Please select the task(s) that you would prefer to be assigned. You can select as many or as few as you feel comfortable doing.
Select Task(s)

Carpentry Painting Landscaping Pressure Washing General Clean Up Site Manager CAC/HAC Member Edging Masonry Electrical Mulch Trimming Weeding
Are you volunteering with a group or organization? Please list it here and we'll make sure you work together. blank
Volunteer waiver to participate in BlockWork 2022.

Volunteer deadline: Friday, October 14, 2022

I hereby, on behalf of the City of Salisbury, release indemnify and hold harmless its officers, directors, employees, agencies and the organizers, sponsors and supervisors of all activities, from any and all liability in connection with any loss claim or injury, unless caused by gross negligence or willful misconduct of the aforesaid; in conjunction with the BlockWork neighborhood improvement project, October 22, 2022. The City of Salisbury has liability insurance which should cover accidents should one occur at the to-be-determined project site.

I likewise hold harmless from liability any person transporting a member of our organization or volunteers to or from any BlockWork activity. In addition, the City of Salisbury has permission to utilize any photographs or videos taken for publicity purposes.
Name *

First Name Middle Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Email Address *
T-Shirt Size *
T-Shirt Type

Unisex Women's
Your E-Signature *

Clear
Parent or Guardian's Signature if under 18 years of age

Clear
Should be Empty:

BlockWork 2022 Volunteer Form