If you would like to volunteer a team or group to participate in Rebiulding Together Omaha's program, please fill out all information. We will then be in contact with you.

Please fill in all information                 
Name
E-mail
Phone (w)
FAX
Company or Organization name used for including in publications: 
How many people will join your team?
Have you been apart of Paint-A-Thon previously?

Send mailings to:
Name
Address
City Zip

Please read Volunteer Authorization:
By signing this agreement, I recognize that I am a voluntary paricipant in Rebuilding Together, a charitable event. I realize and accept that there are inherent dangersand hazards involved in any participation in this event. By my signature below I hereby accept those dangers and hazards and release all the sponsoring organizations (including their officers, employees, members and agents, all other volunteers, and homeowner participants) of Rebuilding Together from all liability for injuries or damages whatsoever which may arise out of or be connected with my participation in this event and all activities related to it.