Wall Build 2026 Registration

Name

This address will receive a confirmation email

Phone

Address

Area of Service

Area I'd like to serve

Building Walls Children's Activities Food Prep & Serving

Comments

Family Members

Spouse's Name

Area Spouse would like to serve Building Walls Children's Activities Food Prep & Serving

Child #1 Name

Child #2 Name

Child #3 Name

Child #4 Name

Dietary restrictions for any members of your family:

Children are encouraged to help build walls alongside their parents. Additional activities for children age 3+ will also be available at the Workforce Center during the Wall Build.

Liability & Photo Waiver

By checking the box, I, and all members of my family participating in this event, do hereby grant and convey to Lithopolis United Methodist Church and Habitat for Humanity, all right, title and interest in any and all photographic images, video and audio made by Lithopolis United Methodist Church and Habitat for Humanity during participation in activities identified by or related to this form. Furthermore, I, for myself and on behalf of my estate, heirs, executors and administrators do hereby fully release and discharge Habitat for Humanity, from any and all liabilities, claims, obligations, damages and causes of action whatsoever arising or growing out of participation in the programs of Habitat for Humanity . I also understand that I am responsible for all medical bills related to such activity, that I am serving at my own risk and that Habitat for Humanity is not liable in the event of sickness, injury, accident, theft, or death. By checking the box likewise indicates that I have read this entire document, understand it completely and agree to the conditions and terms stated herein.

I agree

Electronic Signature

Today's Date

Standing the Walls

I'm interested in helping stand the walls at the build site (1237 E. Locust St., Lancaster). This will likely take place on a Saturday morning later in April (weather dependent). Yes No Maybe

Donations

Donation

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Wall Build 2026 Registration

Description

Please Fix the Following