Please remember this is a minor repair volunteer program, and that the work is done by volunteers and able-bodied

family members of the homeowner, who are requested to work on the specified Christmas in Action work day(s), and that

we can not guarantee that all requested work will be done. Please sign below allowing permission for our House Selection

Chairman to contact you and discuss your project.

By submitting this application, you release Christmas in Action for all or any liabilities for accidents that may occur on your

property. You also grant Christmas in Action permission to use photos of your home in brochures and news articles.

Recipients are asked to welcome all volunteers with courtesy and extend their appreciation of their service.

THANK YOU and GOD BLESS YOU & YOUR FAMILY!

I agree to above statement and all information given is true.